Organization
GREISTAR MENTAL & PHYSICAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRISELLE GARCIA HERNANDEZ (DIRECTORA CLINICA)
(787) 374-5801
Entity
Organization
Contact information
Practice address
52 CALLE MEDITACION, MAYAGUEZ, PR 00680-4819
(787) 834-1878
Mailing address
PO BOX 336223, PONCE, PR 00733-6223
(787) 374-5801
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
104100000X
Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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