Individual
MARIANGIE LUGO MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1353 AVE LUIS VIGOREAUX # 204, GUAYNABO, PR 00966-2715
(787) 247-7766
Mailing address
1353 AVE LUIS VIGOREAUX # 204, GUAYNABO, PR 00966-2715
(787) 247-7766
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1569
PR
103TC0700X
Clinical Psychologist
Primary
1569
PR
103TS0200X
School Psychologist
1569
PR
Other
Enumeration date
06/21/2020
Last updated
07/27/2020
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