Robert Ericson, Phd in Los Ranchos De Albuq - Cognitive & Behavioral
Robert Ericson, Phd - NPI 1700069796
Robert Ericson, Phd is a Cognitive & Behavioral in Los Ranchos De Albuq, New Mexico. Robert Ericson, Phd practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Robert Ericson, Phd is 1700069796. The last update date is 2008-08-05.
Robert Ericson, Phd's current location address is 6463 4th St Nw, Los Ranchos De Albuq, New Mexico. You can contact this provider via phone number 5053449500 and fax number 5053421084. The mailing address for Robert Ericson, Phd is 6463 4th St Nw, Los Ranchos De Albuq, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert Ericson, Phd |
|---|---|
| Address | 6463 4th St Nw, Los Ranchos De Albuq, New Mexico |
| Phone Number | 5053449500 |
| Fax Number | 5053421084 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ericson Charles Robert |
| Credentials | PHD |
| Telephone Number | 5052426672 |
NPI Number Detail
| NPI Number | 1700069796 |
|---|---|
| Provider Enumeration Date | 2007-12-12 |
| Last Updated Date | 2008-08-05 |
Provider Mailing Address Detail
| Address | 6463 4th St Nw |
|---|---|
| City | Los Ranchos De Albuq |
| State | New Mexico (NM) |
| Post Code | 871075810 |
| Phone Number | 5053449500 |
| Fax Number | 5053421084 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 239 |
|
Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NM00N206 | NM | BLUE CROSS BLUE SHIELD | |
| N8396 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Ericson, Phd by the Centers for Medicare & Medicaid Services?
The Robert Ericson, Phd has been assigned the NPI (National Provider Identifier) 1700069796. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Robert Ericson, Phd is geographically located?
The Robert Ericson, Phd is physically situated at the following location: 6463 4Th St Nw, Los Ranchos De Albuq, NM, 871075810.
What is the Robert Ericson, Phd's area of specialization and corresponding taxonomy classification?
The Robert Ericson, Phd's specialty field is Cognitive & Behavioral, and it falls under the taxonomy code 103Tb0200X, which categorizes healthcare providers based on their specialties.
On what date did Robert Ericson, Phd receive its 1700069796 assignment from the Centers for Medicare & Medicaid Services?
The Robert Ericson, Phd was assigned its 1700069796 on 2007-12-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Robert Ericson, Phd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert Ericson, Phd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-05.