Individual
MELISSA BEZARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
CARR #2, KM 112.2, AGUADILLA, PR 00605
(787) 891-8664
(787) 891-8664
Mailing address
PO BOX 5027, AGUADILLA, PR 00605-5027
(787) 891-8664
(787) 891-8664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4240
PR
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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