Individual
LOURDENISSE PAGAN COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPSY
Contact information
Practice address
109 AVE JOSE DE DIEGO E, CAYEY, PR 00736-3822
(787) 719-0610
Mailing address
20 SEC SAN JOSE, CIDRA, PR 00739-9402
(787) 530-4689
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
007043
PR
Other
Enumeration date
08/13/2021
Last updated
10/22/2024
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