Organization
PSICOLOGIA INNOVADORA DEL OESTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRISSELLE M BEAUCHAMP-CORTES PHD (OWNER)
(787) 673-2122
Entity
Organization
Contact information
Practice address
BO LAVADERO CARR #2 KM HM 165.5, HORMIGUEROS, PR 00660
(939) 865-3515
Mailing address
URB MONTE BELLO, 1027 CALLE MAJESTAD, HORMIGUEROS, PR 00660
(939) 865-3515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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