Individual
DR. JUAN C. COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
STREET # 7, F-19, URB. RIBERAS DEL RIO, BAYAMON, PR 00959
(787) 579-4958
Mailing address
STREET # 7, F-19, URB. RIBERAS DEL RIO, BAYAMON, PR 00959
(787) 579-4958
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1341
PR
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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