Healthcare Provider Details

I. General information

NPI: 1427797380
Provider Name (Legal Business Name): FLORANTE MERVIL PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FLORANTE MARIE PIERRE

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 OAK ST UNIT 364
BRENTWOOD CA
94513-7515
US

IV. Provider business mailing address

18 OAK ST UNIT 364
BRENTWOOD CA
94513-7515
US

V. Phone/Fax

Practice location:
  • Phone: 925-559-9111
  • Fax:
Mailing address:
  • Phone: 925-559-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY36920
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: