Provider Demographics
NPI:1568567634
Name:VOIGTMAN, ERIC ROSS (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:ROSS
Last Name:VOIGTMAN
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2146 E CLAIRE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4151
Mailing Address - Country:US
Mailing Address - Phone:602-697-2505
Mailing Address - Fax:602-302-7925
Practice Address - Street 1:18205 N 51ST AVE STE 109
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1491
Practice Address - Country:US
Practice Address - Phone:602-697-2505
Practice Address - Fax:855-595-2710
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10074101YP2500X
AZLPC10074101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ749939Medicaid