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Individual

DR. MARIVELISSE RODRIGUEZ-RIVERA

Active
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Individual

DR. MARIVELISSE RODRIGUEZ-RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
36317
TX
103G00000X
Clinical Neuropsychologist
103TC0700X
Clinical Psychologist
36317
TX
103TC0700X
Clinical Psychologist
68019362
NY

Other

Enumeration date
10/27/2011
Last updated
05/25/2018
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