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Organization

STARFISH PSYCHOLOGICAL SERVICES, C.S.P.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LORENA VAZQUEZ SANTIAGO MRC (CEO/CLINICAL DIRECTOR)
(787) 557-2821
Entity
Organization

Contact information

Practice address
64 CALLE HOSTOS NORTE, GUAYAMA, PR 00784
(787) 686-6242
(787) 686-6241
Mailing address
PO BOX 3415, GUAYAMA, PR 00785-3415
(787) 686-6242

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1055
PR
103T00000X
Psychologist
003776
PR
235Z00000X
Speech-Language Pathologist
1242
PR

Other

Enumeration date
02/11/2015
Last updated
02/11/2015
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