Organization
PSYLAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE COLON CAMACHO PSY.D (PRESIDENT/DIRECTOR)
(787) 324-0223
Entity
Organization
Contact information
Practice address
URB. TOMAS CARRION MADURO, 49 CALLE 4, JUANA DIAZ, PR 00795
(787) 553-0895
Mailing address
104 CALLE CEDRO, EST DE JUANA DIAZ, JUANA DIAZ, PR 00795
(787) 324-0223
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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