Individual
MRS. YVANNA GISSELLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
388 ZONA IND REPARADA 2, PONCE, PR 00716-2347
(787) 840-2575
Mailing address
PO BOX 8714, PONCE, PR 00732-8714
(787) 613-9909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6697
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2018
Last updated
05/28/2021
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