Provider Demographics
NPI:1902259500
Name:ARGUELLO, ERICK DAVID (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERICK
Middle Name:DAVID
Last Name:ARGUELLO
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:PASAJE OE4A CESAR BORJA CORDERO N79-147
Mailing Address - Street 2:
Mailing Address - City:QUITO
Mailing Address - State:PICHINCHA
Mailing Address - Zip Code:170120
Mailing Address - Country:EC
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PASAJE OE4A CESAR BORJA CORDERO N79-147
Practice Address - Street 2:
Practice Address - City:QUITO
Practice Address - State:PICHINCHA
Practice Address - Zip Code:170120
Practice Address - Country:EC
Practice Address - Phone:224-306-2570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-19
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178004251101YP2500X
IL071009623103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional