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Individual

STEPHANIE ODALYS CARRILLO NIEVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
EDIFICIO ARECIBO MEDICAL PLAZA, AVE. JOSE CELSO BARBOSA #65, SUITE 103, ARECIBO, PR 00612-0061
(787) 562-5757
Mailing address
URB. LOS PINOS I, CALLE PINO MARITIMO #306, ARECIBO, PR 00612
(787) 562-5757

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6749
PR

Other

Enumeration date
11/21/2022
Last updated
11/29/2023
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