Individual
KASSANDRA G. RODRIGUEZ- ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
CARR 348 KM 8.9 BO. ROSARIO, SAN GERMAN, PR 00683
(787) 349-3195
Mailing address
HC 02 PO BOX 12386, MAYAGUEZ, PR 00680
(787) 349-3195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5558
PR
Other
Enumeration date
02/26/2014
Last updated
03/05/2014
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