Individual
MS. DEBORAH NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
PASEO DE LA VEGA, COND VISTAS DE LA VEGA APT 421, VEGA ALTA, PR 00692-7714
(787) 605-2564
Mailing address
PASEO DE LA VEGA, COND VISTAS DE LA VEGA APT 421, VEGA ALTA, PR 00692-7714
(787) 605-2564
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
5126
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255608
DRIVER'S LICENSE
PR
Enumeration date
06/26/2020
Last updated
06/26/2020
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