Individual
MARIELISA MAYSONET-GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
CARR. 6678 KM 2.4 SECTOR VILLAMONTE, BO MARICAO, VEGA ALTA, PR 00692-3310
(787) 883-8616
Mailing address
PO BOX 3310, VEGA ALTA, PR 00692-3310
(787) 883-8616
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3125
PR
Other
Enumeration date
01/30/2012
Last updated
06/25/2012
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