Individual
YANEZA POLANCO-SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 CARR 459 STE 1, AGUADILLA, PR 00603-6477
(939) 319-8651
Mailing address
PO BOX 3048, AGUADILLA, PR 00605-3048
(939) 319-8651
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
7595
PR
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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