| Erickson Psychological Services LLC | |
|
315 S Allen St Suite 421 State College PA 16801-4849 | |
| (814) 466-2133 | |
| Not Available |
| Full Name | Erickson Psychological Services LLC |
|---|---|
| Speciality | Psychologist |
| Location | 315 S Allen St, State College, Pennsylvania |
| Authorized Official Name and Position | John Raymond Erickson (OWNER) |
| Authorized Official Contact | 8144662133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson Psychological Services LLC 315 S Allen St Suite 421 State College PA 16801-4849 Ph: (814) 466-2133 | Erickson Psychological Services LLC 315 S Allen St Suite 421 State College PA 16801-4849 Ph: (814) 466-2133 |
| NPI Number | 1679963193 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 02/05/2015 |
| Medicare PECOS PAC ID | 1254659808 |
|---|---|
| Medicare Enrollment ID | O20150413000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679963193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS007918L (Pennsylvania) | Primary |
| Provider Name | John R Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366434466 PECOS PAC ID: 7618978180 Enrollment ID: I20070125000443 |
Gracanne Pearl Dreibelbis-drapcho Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Rolling Ridge Dr, Suite 100, State College, PA 16801 Phone: 814-860-0670 Fax: 814-867-7616 |
One Step at a Time Therapy LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 119 S Burrowes St Ste 706, State College, PA 16801 Phone: 814-753-1071 Fax: 877-775-2413 |
Van Gent Counseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Kenley Ct, State College, PA 16803 Phone: 724-372-5673 |
Oasis Lifecare LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1520 Martin St, State College, PA 16803 Phone: 814-883-9949 |
Taking Flight Developmental Center, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1981 Cato Ave, Suite 2, State College, PA 16801 Phone: 814-954-4187 Fax: 814-954-4197 |
Healing Room Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2023 Cato Ave, Suite 101, State College, PA 16801 Phone: 814-599-4124 |