| Doctor Name: | ERIN ELIZABETH VICKERS |
| NPI Number: | 1043351463 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1420 Neal St Suite 202 Cookeville, TN - 385014333 |
| Business Phone Number: | 9315256900 |
| Business Fax Number: | 9315256970 |
| Mailing Address: | 620 Laurel Park Circle, COOKEVILLE |
| State: | TN |
| Postal Code: | 385013016 |
| Phone Number: | 9012292815 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |