Individual
DR. ERICA LANE CASTLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
201 HERMOSA DR NE, ALBUQUERQUE, NM 87108-1023
(505) 503-7946
Mailing address
31 CASA HERMOSA DR NE, ALBUQUERQUE, NM 87112-7000
(713) 818-6978
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1202
NM
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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