Individual
FANNY CHARLAYNE MATEO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
463 CALLE FERNANDO CALDER # 212, SAN JUAN, PR 00918-2769
(787) 612-9790
Mailing address
274 CALLE CANALS APT 801, SAN JUAN, PR 00907-3002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6829
PR
103TC1900X
Counseling Psychologist
Primary
6829
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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