Carlon, Ericka

Carlon, Ericka is an sole proprietor health care provider with primary practice located at 7301 N 58Th Ave , Glendale AZ 85301-1893. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Carlon, Ericka can be contacted via phone (623) 842-8214.

Contact Information

Primary practice address
7301 N 58Th Ave Glendale AZ 85301-1893
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Arizona

Profile Details

NPI number 1538201868
LBN Legal business name Carlon, Ericka
Credentials ED.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538201868 NPPES
Arizona MEDICAID 133169

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