Individual
DR. JAISSELLE MARIE VEGA ROSALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
775 CALLE CAOBA, CENTRO COMERCIAL LOS CAOBOS, SUITE 6, PONCE, PR 00716-2610
(787) 677-0503
Mailing address
775 CALLE CAOBA, CENTRO COMERCIAL LOS CAOBOS, SUITE 6, PONCE, PR 00716-2610
(787) 677-0503
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
5738
PR
103TC0700X
Clinical Psychologist
5738
PR
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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