Individual
DR. VANESSA AMARILIS HERNANDEZ-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
STREET 132 KM 24.3, SUITE 101, PONCE, PR 00728
(787) 231-6629
Mailing address
PO BOX 397, CAMUY, PR 00627
(787) 231-6629
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6370
PR
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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