Organization
SEPULVEDA PSYCHOLOGICAL CLINIC LLC
Active
Other names
Sepulveda Psychological Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN I SEPULVEDA PSYD (OWNER)
(787) 381-6613
Entity
Organization
Contact information
Practice address
DUFRESNE 19 SUITE 1, HUMACAO, PR 00791
(787) 381-6613
Mailing address
URB PALMAS PLANTATION, 101 FAIRWAY DR, HUMACAO, PR 00791-6120
(787) 381-6613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
04/17/2024
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