Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 020104-1 | NY |
Y | 103TC1900X | Counseling Psychologist | PSY003887 | GA |
NPI | 1114279445 |
---|---|
Provider Name | Dr. Christine Erickson |
First Address | Alpharetta, GA 30009-2031 |
Second Address | Alpharetta, GA 30009-2031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2012 |
Last Update Date | 16/11/2021 |