Individual
GRACE ASTACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
HC 3 BOX 6205, HUMACAO, PR 00791-9503
(787) 487-1302
Mailing address
BOX 10073, CUH STATION, HUMACAO, PR 00792
(787) 487-1302
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3502
PR
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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