Healthcare Provider Details

I. General information

NPI: 1851704027
Provider Name (Legal Business Name): ERICA HOOVER HAINES PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 ENCINA RD STE A
GOLETA CA
93117-2270
US

IV. Provider business mailing address

5901 ENCINA RD STE A
GOLETA CA
93117-2270
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-0035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY29194
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: