Dr Robert Charles Ericson, PHD is a
Psychologist based in Los Ranchos De Albuquerque, New Mexico. Dr Robert Charles Ericson is licensed to practice in New Mexico (license number 239) and his current practice location is
6463 4th St Nw, Ste. C, Los Ranchos De Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 344-9500.
NPI number for Dr Robert Charles Ericson is 1275547440 and his current mailing address is 6463 4th St., Nw, Ste. C, Los Ranchos De Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275547440.
Healthcare Provider's Profile
Full Name | Dr Robert Charles Ericson |
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Gender | Male |
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Speciality | Psychologist |
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Location | 6463 4th St Nw, Los Ranchos De Albuquerque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275547440
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 01/29/2008
Medical Identifiers
Medical identifiers for Dr Robert Charles Ericson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275547440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 239 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Charles Ericson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Robert Charles Ericson, PHD 6463 4th St., Nw, Ste. C, Los Ranchos De Albuquerque, NM 87107 Ph: (505) 344-9500 | Dr Robert Charles Ericson, PHD 6463 4th St Nw, Ste. C, Los Ranchos De Albuquerque, NM 87107-5810 Ph: (505) 344-9500 |
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