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Individual

MARIVEL VELAZQUEZ CRESPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
CASA LINDA AVE # 177 STREET LOS FILTROS, SUITE 101 ENTRANCE MILITARY ACADEMY, BAYAMON, PR 00959-8998
(787) 789-1919
Mailing address
PO BOX 34552, FORT BUCHANAN, PR 00934-0552
(787) 396-7440

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
540
PR
103TC0700X
Clinical Psychologist
Primary
2706
PR

Other

Enumeration date
01/31/2012
Last updated
11/06/2017
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