# BLVD PSYCHOLOGICAL SERVICES P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinic/Center - Multi-Specialty
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174023535
- **Authorized official:** BRENDALY GARCIA MORALES PSY D (PRESIDENTA/DIRECTORA)
- **Authorized official phone:** (787) 462-1730

## Contact information

- **Practice address:** 3326 PASEO CARMEN, TOA BAJA, PR 00949-3136
- **Practice address phone:** (939) 399-3371
- **Practice address fax:** (939) 399-3372
- **Mailing address:** 3326 PASEO CARMEN, TOA BAJA, PR 00949-3136
- **Mailing address phone:** (939) 399-3371
- **Mailing address fax:** (939) 399-3372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2018
- **Last updated:** 10/22/2018