Individual
DR. SHEYDIE ENELIE VIDAL PLAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
CARR. #2 KM. 39.8, VEGA BAJA, PR 00693
(787) 871-0601
Mailing address
HC 4 BOX 10578, UTUADO, PR 00641-7518
(939) 460-6611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008071
PR
Other
Enumeration date
07/29/2024
Last updated
09/26/2024
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