Individual
MRS. COLLETTE MARIE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
AVE SANCHEZ OSORIO # 5H4, VILLA FONTANA PARK, CAROLINA, PR 00983-3226
(787) 768-3320
Mailing address
PATIO SEVILLANO # 475, CARR 8860 APT1981, TRUJILLO ALTO, PR 00976-5401
(787) 391-5417
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1956
PR
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1956
PR
103TS0200X
School Psychologist
Primary
1956
PR
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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