Provider Demographics
NPI:1508226705
Name:CANALES, ERIKA JUNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:JUNE
Last Name:CANALES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 JOE DIMAGGIO BLVD
Mailing Address - Street 2:STE 3
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-3989
Mailing Address - Country:US
Mailing Address - Phone:512-940-0740
Mailing Address - Fax:830-386-0030
Practice Address - Street 1:3000 JOE DIMAGGIO BLVD
Practice Address - Street 2:STE 3
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3989
Practice Address - Country:US
Practice Address - Phone:512-940-0740
Practice Address - Fax:830-386-0030
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36487103TC1900X, 172V00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No172V00000XOther Service ProvidersCommunity Health Worker