Healthcare Provider Details

I. General information

NPI: 1447905591
Provider Name (Legal Business Name): ERIN TRIFILIO PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 SW WILLISTON RD
GAINESVILLE FL
32608-3928
US

IV. Provider business mailing address

PO BOX 100165
GAINESVILLE FL
32610-0165
US

V. Phone/Fax

Practice location:
  • Phone: 352-294-5400
  • Fax:
Mailing address:
  • Phone: 352-273-6617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY11644
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: