Healthcare Provider Details

I. General information

NPI: 1841199643
Provider Name (Legal Business Name): ERIKA GLORIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA GOMES

II. Dates (important events)

Enumeration Date: 11/05/2026
Last Update Date: 11/05/2026
Certification Date: 11/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 TEAGARDEN ST
SAN LEANDRO CA
94577-4340
US

IV. Provider business mailing address

2600 TEAGARDEN ST
SAN LEANDRO CA
94577-4340
US

V. Phone/Fax

Practice location:
  • Phone: 510-667-6087
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number250108718
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: