Organization
KIDS IN GROWTH THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EUNICE N VELEZ LICENSE (TERAPISTA DEL HABLA Y LENGUAJE)
(939) 942-5607
Entity
Organization
Contact information
Practice address
AVE ARTERIAL HOSTOS, APARTAMENTO N102, SAN JUAN, PR 00918-1451
(939) 642-5607
Mailing address
PO BOX 1205, BAJADERO, PR 00616-1205
(939) 642-5607
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3849
PR
103TC2200X
Clinical Child & Adolescent Psychologist
3849
PR
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3849
PR
103TS0200X
School Psychologist
4232
PR
2355S0801X
Speech-Language Assistant
971
PR
235Z00000X
Speech-Language Pathologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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