| Jason Erickson Lcp Llc | |
|
250 N Rock Rd Ste 370 Wichita KS 67206-2243 | |
| (620) 481-1311 | |
| (316) 333-7281 |
| Full Name | Jason Erickson Lcp Llc |
|---|---|
| Speciality | Psychologist |
| Location | 250 N Rock Rd Ste 370, Wichita, Kansas |
| Authorized Official Name and Position | Jason Paul Erickson (OWNER) |
| Authorized Official Contact | 6204811311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Erickson Lcp Llc 1333 N Split Rail Ct Derby KS 67037-2846 Ph: (620) 481-1311 | Jason Erickson Lcp Llc 250 N Rock Rd Ste 370 Wichita KS 67206-2243 Ph: (620) 481-1311 |
| NPI Number | 1689208860 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689208860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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