Organization
PSYCHOLOGY CASTRO LEBRON PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVELISSE L CASTRO LEBRON PSYD (PRESIDENT)
(939) 262-8213
Entity
Organization
Contact information
Practice address
168 AVE BARBOSA, CATANO, PR 00962-4782
(939) 262-8213
Mailing address
A15 CALLE BRAZIL, URB EL JARDIN, GUAYNABO, PR 00969
(939) 262-8213
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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