Provider Demographics
NPI:1780718759
Name:PULIDO, ERIKA
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:PULIDO
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 1:1850 S COLLEGE AVE APT 116
Mailing Address - Street 2:
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-2850
Mailing Address - Country:US
Mailing Address - Phone:559-356-2867
Mailing Address - Fax:
Practice Address - Street 1:1850 S COLLEGE AVE APT 116
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-2850
Practice Address - Country:US
Practice Address - Phone:559-356-2867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health