Individual
GLENIVETTE ZAYAS-VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1 CARR PLAZA CAYEY, CAYEY, PR 00736
(787) 679-8922
Mailing address
PO BOX 2003, GUAYNABO, PR 00970-2003
(787) 516-1890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5744
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005744
LICENSE
PR
Enumeration date
12/13/2016
Last updated
03/17/2018
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