Individual
VIVIANA BEATRIZ VICENS-AXTMAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
CALLE 13 NE, #346 ALTOS, SAN JUAN, PR 00920
(939) 625-1356
Mailing address
APT 12 J, 1 CALLE HORTENSIA, SAN JUAN, PR 00926-6545
(787) 649-3629
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6309
PR
Other
Enumeration date
09/25/2023
Last updated
01/24/2025
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