Organization
YPERVASI CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCHESKA BARRETO CORREA PSYD (PRESIDENT)
(787) 646-5397
Entity
Organization
Contact information
Practice address
CARR 857 KM0.4 BO CANOVANILLAS, CAROLINA, PR 00987-0000
(787) 776-3840
(787) 276-2923
Mailing address
LOMAS DE CAROLINA D32, CALLE MONTE MEMBRILLO, CAROLINA, PR 00987-0000
(787) 646-5397
(787) 276-2923
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3080
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3080
LIC
PR
Enumeration date
10/16/2012
Last updated
10/16/2012
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