Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phylicia Nicole Medeiros, SCHOOLPSYCHOLOGY

Individual provider School Psychologist · NPI 1639961634

Phylicia Nicole Medeiros, SCHOOLPSYCHOLOGY is a School Psychologist in Manteca, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1757 Flaxen Ct # 59
Manteca, CA 95337-8152
Phone: (209) 535-2415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 230188558 (CA)

Record details

NPI number1639961634
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials SCHOOLPSYCHOLOGY
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 18, 2025

Other providers in Manteca