| NPI | 1699185751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANIEL M VERDEJO Clinical Psychologist 787-718-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3971) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PR 3971) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |