Individual
JOSEPH ERICKSON
Active
Individual
JOSEPH ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0136
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101897
UCARE
MN
01
—
303078
USA NETWORK
MN
01
—
6120247
MEDICA CHOICE
MN
01
—
7H906ER
BCBS
MN
01
—
HP19958
HEALTHPARTNERS
MN
Enumeration date
11/10/2006
Last updated
07/08/2007
Update your record
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