Organization
PROFESIONALES AL SERVICIO DEL DESARROLLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYRA S TORRES PSYD (CLINICAL PSYCHOLOGY)
(787) 360-4933
Entity
Organization
Contact information
Practice address
URB. JARDINES DE TOA ALTA CALLE 1 LOCAL 1, RIO DEL PLATA MALL OFICINA 3-C, TOA ALTA, PR 00954
(787) 429-8693
Mailing address
PO BOX 460, TOA ALTA, PR 00954-0460
(787) 429-8693
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1732
PR
103TA0700X
Adult Development & Aging Psychologist
1592
PR
103TC0700X
Clinical Psychologist
Primary
1592
PR
103TC2200X
Clinical Child & Adolescent Psychologist
1732
PR
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1592
PR
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1732
PR
225X00000X
Occupational Therapist
670
PR
225XP0200X
Pediatric Occupational Therapist
670
PR
235Z00000X
Speech-Language Pathologist
660
PR
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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