Individual
AMANDA GRACIELA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1909 CALLE ORQUIDEA, SAN JUAN, PR 00927-6714
(787) 430-4031
Mailing address
1909 CALLE ORQUIDEA, SAN JUAN, PR 00927-6714
(787) 430-4031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1785
PR
103TC1900X
Counseling Psychologist
Primary
1785
PR
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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