Individual
IVONNE MARIE VILLATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
#20 PINEIRO, SUITE 201, GUAYNABO, PR 00969
(787) 790-6448
Mailing address
AN35 PLAZA SAN VICENTE, ANTILLANA, TRUJILLO ALTO, PR 00976-6128
(787) 644-5497
(787) 790-6448
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1594
PR
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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