Individual
DR. VYMAGDA CHICO NOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D
Contact information
Practice address
543 AVE JOSE CEDENO, SUITE 204, ARECIBO, PR 00612-3935
(787) 879-1121
(787) 879-1121
Mailing address
543 AVE JOSE CEDENO, SUITE 204, ARECIBO, PR 00612-3935
(787) 879-1121
(787) 879-1121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2238
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2646
HUMANA APS
PR
01
—
2687
APS T- REFORMA
PR
01
—
528111
MCS (PAE) (FHC)
PR
01
—
56791CH
TRIPLE SSS
PR
01
—
P844
IMC FIRTS MEDICAL
PR
01
—
PS-1006
PALIC
PR
Enumeration date
01/11/2007
Last updated
07/08/2007
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