Healthcare Provider Details

I. General information

NPI: 1023052479
Provider Name (Legal Business Name): GERARD J. ERKER PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 CLAYTON RD 6TH FLOOR
SAINT LOUIS MO
63117-1811
US

IV. Provider business mailing address

1836 LACKLAND HILL PKWY ATTNT: CREDENTIALING DEPARTMENT
SAINT LOUIS MO
63146-3572
US

V. Phone/Fax

Practice location:
  • Phone: 314-768-5205
  • Fax: 314-768-5315
Mailing address:
  • Phone: 314-989-0300
  • Fax: 314-810-1399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number01284
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY01284
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: