Individual
ERICA ANN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
402 N JACKSON RD, EDINBURG, TX 78541-2868
(956) 540-7510
(956) 787-2021
Mailing address
402 N JACKSON RD, EDINBURG, TX 78541-2868
(956) 540-7509
(956) 560-7510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36221
TX
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3310989-03
—
TX
05
—
3310989-04
—
TX
05
—
3310989-05
—
TX
01
—
824130264
TAX ID
TX
Enumeration date
10/18/2012
Last updated
04/25/2024
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