| NPI | 1194845644 | 
|---|---|
| Professional Name | JUAN RICARDO FELICIANO | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8938) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7464) | 
| 103T00000X Psychologist (Licence: FL PY8938) | |
| Enumeration Date | 2007-03-29 | 
| Last Update Date | 2018-06-08 |