Individual
MARLYN VILLAFANE MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., MS.
Contact information
Practice address
175 AVE ALGARROBO, MAYAGUEZ, PR 00682-6331
(787) 834-6900
Mailing address
PO BOX 459, SAN ANTONIO, PR 00690-0459
(787) 934-5175
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6941
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2013
Last updated
08/18/2021
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