Individual
WIGNIE IVELISSE TORRES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
GALERIA PROFESIONAL SUITE 102 CALLE CONCORDIA, PONCE, PR 00717-1562
(939) 835-7257
Mailing address
PO BOX 1511, OROCOVIS, PR 00720-1511
(787) 516-4359
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7757
PR
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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