Individual
IVONNE SANABRIA BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
COND CASA LINDA, APT 107, BAYAMON, PR 00959-8999
(787) 297-2917
Mailing address
CASA LINDA VILLAGE, APT 107, BAYAMON, PR 00959-0000
(787) 297-2917
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2301
PR
Other
Enumeration date
09/20/2006
Last updated
10/21/2008
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