Organization
CENTRO DE SERVICIOS PSICOLOGICOS DEL OESTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA I MEDINA (PSYCHOLOGIST)
(787) 892-8868
Entity
Organization
Contact information
Practice address
183 AVE UNIVERSIDAD INTERAMERICA STE 204, SAN GERMAN, PR 00683-4459
(787) 892-8868
Mailing address
183 AVE UNIVERSIDAD INTERAMERICA STE 204, SAN GERMAN, PR 00683-4459
(787) 892-8868
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1879
PR
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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