Individual
DR. ERIC AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
66 MDS (AFMC), 90 VANDENBERG DRIVE, BLDG 1900, HANSCOM AFB, MA 01731-2104
(781) 225-6789
(781) 225-2576
Mailing address
66 MDS (AFMC), 90 VANDENBERG DRIVE, BLDG 1900, HANSCOM AFB, MA 01731-2104
(781) 225-6789
(781) 225-2576
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
09/05/2012
Last updated
04/09/2018
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