Individual
GIOVANNA DIAZ MASSANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY
Contact information
Practice address
9 CONDOMINIO PARQUE LOS ALMENDROS, PONCE, PR 00716
(787) 264-9640
Mailing address
9 CONDOMINIO PARQUE LOS ALMENDROS, PONCE, PR 00716
(787) 264-9640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5748
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4797017
LICENSE
PR
Enumeration date
03/29/2017
Last updated
04/04/2017
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