Individual
LYDIA C RODRIGUEZ CORCELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1628 CALLE AUGUSTA, SAN JUAN, PR 00926-3408
(787) 368-4792
Mailing address
1628 CALLE AUGUSTA, SAN JUAN, PR 00926-3408
(787) 368-4792
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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