Individual
NEYSSA L DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
AVE. FERNANDEZ JUNCOS 1306, PRDA. 19, SAN JUAN, PR 00908
(787) 480-3000
Mailing address
R134 CALLE 23, URB. BELLA VISTA, BAYAMON, PR 00957
(787) 226-7253
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4103
PR
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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