Provider Demographics
NPI:1891144861
Name:BERRIOS, ERIKA ALEXANDRA
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ALEXANDRA
Last Name:BERRIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6033 OAKSHADOW ST APT 14201
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-2815
Mailing Address - Country:US
Mailing Address - Phone:786-731-4508
Mailing Address - Fax:
Practice Address - Street 1:6033 OAKSHADOW ST APARTMENT 14201
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835
Practice Address - Country:US
Practice Address - Phone:786-731-4508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling