Healthcare Provider Details

I. General information

NPI: 1104720259
Provider Name (Legal Business Name): FLORES PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 SOLANO AVE STE 206
BERKELEY CA
94707-2218
US

IV. Provider business mailing address

1760 SOLANO AVE STE 206
BERKELEY CA
94707-2218
US

V. Phone/Fax

Practice location:
  • Phone: 415-724-9953
  • Fax:
Mailing address:
  • Phone: 415-724-9953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MARTA FLORES
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 415-724-9953