Individual
MISS YADIRA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
CARR 402 KM 1.8, ANASCO, PR 00610
(787) 464-3486
Mailing address
PO BOX 2187, ANASCO, PR 00610-2187
(787) 464-3486
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3107
PR
Other
Enumeration date
10/19/2012
Last updated
05/10/2017
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