Individual
DR. CARLOS ENRIQUE RIVERA VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
921 WASHINGTON AVE APT 4K, BROOKLYN, NY 11225-1034
(617) 308-0297
Mailing address
921 WASHINGTON AVE APT 4K, BROOKLYN, NY 11225-1034
(617) 308-0297
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024776
NY
103TC0700X
Clinical Psychologist
11326
MA
Other
Enumeration date
11/20/2012
Last updated
03/07/2022
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