Individual
DR. MARELY DIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MA
Contact information
Practice address
CALLE PALMER #6 ESQUINA NORTE, FRANCISCO G. BRUNO, GUAYAMA, PR 00784
(787) 469-2111
Mailing address
PO BOX 41, GUAYAMA, PR 00785-0041
(787) 469-2111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5789
PR
103TC0700X
Clinical Psychologist
Primary
5789
PR
103TH0004X
Health Psychologist
5789
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5789
PROFESIONAL PRACTICE LICENSE
PR
Enumeration date
06/12/2019
Last updated
01/12/2024
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