Individual
NICOLE M FOURQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DRA.
Contact information
Practice address
1123 AVE HOSTOS, PONCE, PR 00717-0952
(787) 637-1408
Mailing address
URB. VEREDAS DE YAUCO, CALLE SENDERO #104, YAUCO, PR 00698
(787) 637-1408
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8722
PR
103TC2200X
Clinical Child & Adolescent Psychologist
8722
PR
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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