Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 5554 | MN |
Y | 103TC0700X | Clinical Psychologist | 5554 | MN |
NPI | 1003116047 |
---|---|
Provider Name | Sherri Lynn Eichers |
First Address | Saint Cloud, MN 56303-2613 |
Second Address | Saint Cloud, MN 56303-2613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2010 |
Last Update Date | 02/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003116047 | FOR ALL PURPOSES. (01) | MN |