Individual
DR. ERIC SPRANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., L.P.
Contact information
Practice address
1600 WARREN ST, SUITE 6, MANKATO, MN 56001-5197
(507) 389-5825
Mailing address
1600 WARREN ST, SUITE 6, MANKATO, MN 56001-5197
(507) 389-5825
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5466
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
07/05/2006
Last updated
04/30/2012
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