Provider Demographics
NPI:1720211006
Name:MOLINA, ERIKA JANICE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:JANICE
Last Name:MOLINA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:V9 12TH STREET
Mailing Address - Street 2:ALTURAS DE FLAMBOYAN
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-638-8267
Mailing Address - Fax:787-854-0030
Practice Address - Street 1:PLAZA PUERTA DEL SOL CALLE MIGUEL OTERO
Practice Address - Street 2:202 SUITE 101
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-0001
Practice Address - Fax:787-854-0030
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3384103TC0700X, 103TE1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports