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Organization
BLVD PSYCHOLOGICAL SERVICES P.S.C.
Active
Organization
BLVD PSYCHOLOGICAL SERVICES P.S.C.
Active
Other names
Clinic/Center - Multi-Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDALY GARCIA MORALES PSY D (PRESIDENTA/DIRECTORA)
(787) 462-1730
Entity
Organization
Contact information
Practice address
3326 PASEO CARMEN, TOA BAJA, PR 00949-3136
(939) 399-3371
(939) 399-3372
Mailing address
3326 PASEO CARMEN, TOA BAJA, PR 00949-3136
(939) 399-3371
(939) 399-3372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
PR
103TA0700X
Adult Development & Aging Psychologist
—
NULL
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
PR
103TH0004X
Health Psychologist
—
PR
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/12/2018
Last updated
10/22/2018
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