Psychological Wellness Center Llc | |
Carr.pr-54 Int. Ramal 7711 Bo. Pozo Hondo Guayama PR 00784 | |
(787) 246-2827 | |
Not Available |
Full Name | Psychological Wellness Center Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | Carr.pr-54 Int. Ramal 7711, Guayama, Puerto Rico |
Authorized Official Name and Position | Marielly Hernandez Fernandez (CLINICAL PSYCHOLOGY) |
Authorized Official Contact | 7872462827 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychological Wellness Center Llc Po Box 3372 Guayama PR 00785-3372 Ph: (787) 246-2728 | Psychological Wellness Center Llc Carr.pr-54 Int. Ramal 7711 Bo. Pozo Hondo Guayama PR 00784 Ph: (787) 246-2827 |
NPI Number | 1659077295 |
---|---|
Provider Enumeration Date | 02/06/2023 |
Last Update Date | 02/06/2023 |
Certification Date | 01/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659077295 | NPI | - | NPPES |
4519251 | Other | PR | DRIVER LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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