Individual
MRS. VIDALINA FELICIANO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
AVE. WISTON CHURCHILL COND. VILLAS DEL SENORIAL, APT. 1205, SAN JUAN, PR 00926
(787) 529-7932
Mailing address
AVE. WISTON CHURCHILL COND. VILLAS DEL SENORIAL, APT. 1205, SAN JUAN, PR 00926
(787) 529-7932
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4111
PR
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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