Individual
LISA M KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
AVE BAIROA CALLE GUARIONEX BS2 LOCAL 4, CAGUAS, PR 00727
(787) 460-8360
Mailing address
CALLE B C2 GOLDEN GATE 1, CAGUAS, PR 00727
(787) 447-0101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7520
PR
Other
Enumeration date
01/11/2024
Last updated
01/21/2024
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