Individual
ANA GABRIELA DIEPPA LOPEZ DE VICTORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
388 ZONA IND REPARADA 2, PONCE, PR 00716-2347
(787) 840-2575
Mailing address
HACIENDAS DEL MONTE, 6016 PASEO CONCORDIA, PONCE, PR 00780
(787) 478-4748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6350
PR
Other
Enumeration date
08/22/2019
Last updated
10/02/2021
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