Erickson, Carol Jane
Erickson, Carol Jane is an sole proprietor health care provider with primary practice located at 620 W 19Th St Ste 6, Cheyenne WY 82001-4307. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Erickson, Carol Jane can be contacted via phone (307) 637-5808.Contact Information
Primary practice address
620 W 19Th St Ste 6
Cheyenne WY 82001-4307
Phone: (307) 637-5808
Fax: (307) 432-6775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 303 | Wyoming |
Profile Details
| NPI number | 1255537296 |
|---|---|
| LBN Legal business name | Erickson, Carol Jane |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Sep 24th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255537296 | NPPES |
| Wyoming | Other | 310907 | BC/BS |
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