Individual
DR. JOSE ANGEL GANDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9140 CALLE MARINA, SUITE 502, PONCE, PR 00717
(787) 485-6348
Mailing address
9140 CALLE MARINA, SUITE 502, PONCE, PR 00717
(787) 485-6348
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3500
PR
103TC2200X
Clinical Child & Adolescent Psychologist
3500
PR
103TF0000X
Family Psychologist
3500
PR
103TP2701X
Group Psychotherapy Psychologist
3500
PR
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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