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Organization

CARLOS ALBIZU UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NANET MARIE LOPEZ-CORDOVA PSY.D. (PSYD PROGRAM DIRECTOR)
(787) 725-6500
Entity
Organization

Contact information

Practice address
CALLE TANCA 151 ESQUINA SAN FRANCISCO, VIEJO SAN JUAN, SAN JUAN, PR 00902
(787) 725-6500
(787) 721-7183
Mailing address
PO BOX 9023711, SAN JUAN, PR 00902-3711
(787) 725-6500
(787) 721-7187

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1206
PR

Other

Enumeration date
11/02/2012
Last updated
11/02/2012
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