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Individual
DR. SANTOS VALES
Active
Individual
DR. SANTOS VALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
021471
NY
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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