Healthcare Provider Details

I. General information

NPI: 1932273125
Provider Name (Legal Business Name): ERICA GANTS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 LITTLE FALLS ST STE 212
FALLS CHURCH VA
22046-4323
US

IV. Provider business mailing address

140 LITTLE FALLS ST STE 212
FALLS CHURCH VA
22046-4323
US

V. Phone/Fax

Practice location:
  • Phone: 703-568-8292
  • Fax:
Mailing address:
  • Phone: 703-568-2892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810002698
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: