Individual
MRS. GRACE MARIE VIVALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. PSYCHOLOGY
Contact information
Practice address
B5 CALLE URUGUAY, HACIENDAS DE MONTE VERDE, VEGA BAJA, PR 00693-5822
(787) 854-7060
(787) 854-7021
Mailing address
URUGUAY ST. B-5 HAC. MONTE VERDE, GRACE M. VIVALDI, VEGA BAJA, PR 00693-5822
(787) 854-7060
(787) 854-7021
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
781
PR
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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