Organization
INNOVATIVO PSYCOEDUCATIONAL & CONSULTING SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL SALAS PSY.D (PRESIDENT)
(787) 617-8617
Entity
Organization
Contact information
Practice address
D81 CALLE C, DORADO OFFICE SUITES, COSTA DE ORO, DORADO, PR 00646-2051
(787) 617-8617
Mailing address
DORADO OFFICE SUITE CALLE C, D-81, DORADO, PR 00646
(787) 617-8617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3160
PR
103TC1900X
Counseling Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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