Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 2016043860 | MO |
N | 103T00000X | Psychologist | 2016043860 | MO |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PY10721 | FL |
NPI | 1073862405 |
---|---|
Provider Name | Dr. Errin E. Price |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33908-3838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2012 |
Last Update Date | 29/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
106076800 | (05) | FL |