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Organization

CAROL J. ERICKSON, PSYD., P.C.

Active
Other names
CE Mental Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROL J ERICKSON PSY.D. (LICENSED PSYCHOLOGIST)
(307) 637-5808
Entity
Organization

Contact information

Practice address
620 W 19TH ST, STE 6, CHEYENNE, WY 82001-4307
(307) 637-5808
(307) 432-6775
Mailing address
620 W 19TH ST, STE 6, CHEYENNE, WY 82001-4307
(307) 637-5808
(307) 432-6775

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
303
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
310907
BC/BS
Enumeration date
07/04/2006
Last updated
09/24/2007
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