Provider Demographics
NPI:1841507654
Name:RINGDAHL, ERIK N (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:N
Last Name:RINGDAHL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9831 CAROWINDS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4318
Mailing Address - Country:US
Mailing Address - Phone:702-287-5591
Mailing Address - Fax:
Practice Address - Street 1:AUDIE L. MURPHY MEMORIAL VA HOSPITAL
Practice Address - Street 2:7400 MERTON MINTER BOULEVARD
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:707-423-5174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004321103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist