Individual
MS. TAYRA V. ILARRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
51 CALLE 1, URB CATALANA, BARCELONETA, PR 00617
(787) 846-5101
Mailing address
51 CALLE 1, BARCELONETA, PR 00617-3316
(939) 403-4271
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5679
PR
Other
Enumeration date
01/24/2013
Last updated
07/24/2017
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