Provider Demographics
NPI:1003245655
Name:ASKINS, ERIC R (PSYD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:R
Last Name:ASKINS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 ODELL CT UNIT C
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-4449
Mailing Address - Country:US
Mailing Address - Phone:307-672-4689
Mailing Address - Fax:307-672-2469
Practice Address - Street 1:1408 ODELL CT UNIT C
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-4449
Practice Address - Country:US
Practice Address - Phone:307-672-4689
Practice Address - Fax:307-672-2469
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYCPP 10103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist