Individual
CHRISTINA MERCEDES JIMENEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
PR-788 BO. TOMAS DE CASTRO, CAGUAS, PR 00725
(787) 414-0850
Mailing address
5 CALLE 1, CAGUAS, 00727, DEHETAU APARTMENTS, APT 304, CAGUAS, PR 00727
(787) 414-0850
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7553
PR
103TC2200X
Clinical Child & Adolescent Psychologist
7553
PR
103TS0200X
School Psychologist
7553
PR
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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