Individual
MS. VIVIAN SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
AVE. MIGUEL MELENDEZ MUNOS, #14, CAYEY, PR 00736
(787) 633-6768
Mailing address
PASEO DE LA CEIBA, #109, POMARROSA STREET, JUNCOS, PR 00777
(787) 633-6768
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3052
PR
103TC1900X
Counseling Psychologist
3052
PR
103TC2200X
Clinical Child & Adolescent Psychologist
3052
PR
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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