Individual
DR. LIANA C GODREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1326 SALUD ST, EDIFICIO EL SENORIAL SUITE 415, PONCE, PR 00717-1689
(787) 259-1560
(787) 259-1560
Mailing address
2004 GUADALYQUIVIR ST, URB RIO CANAS, PONCE, PR 00728-1825
(787) 598-0727
(787) 259-1560
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2065
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1826
HUMANA
PR
01
—
219107
PREFERRED HEALTH
PR
Enumeration date
02/15/2007
Last updated
07/08/2007
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