Organization
MULTIDISCIPLINARY PSYCHOLOGICAL SERVICES, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASTRID MARI NEGRON DO (PRESIDENT)
(787) 479-1521
Entity
Organization
Contact information
Practice address
URB. AGUSTIN STAHL, CARR 174 # 79 SUITE 3, BAYAMON, PR 00956
(787) 675-0663
(787) 961-8018
Mailing address
PO BOX 943, DORADO, PR 00646-0943
(787) 675-0663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5503
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5503
PROFESSIONAL LICENSE
PR
Enumeration date
09/14/2010
Last updated
02/21/2020
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