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Individual

CAMILA M MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LSSP.

Contact information

Practice address
66 2ND ST. RIVIERA COURT DEV, BAYAMON, PR 00959
(787) 615-3131
(787) 731-6598
Mailing address
URB. VILLAS DEL RIO BAYAMON CALLE 14 D-11, BAYAMON, PR 00959-8965
(787) 615-3131
(787) 731-6598

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
6081
PR
103TS0200X
School Psychologist
Primary
71612
TX

Other

Enumeration date
08/18/2021
Last updated
08/18/2021
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