Individual
STEPHANIE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
SEGOVIA 208 VILLA DEL CARMEN, PONCE, PR 00716-2101
(787) 240-8458
Mailing address
VILLA DEL CARMEN SEGOVIA 208, PONCE, PR 00716
(787) 240-8458
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5617
PR
Other
Enumeration date
07/18/2012
Last updated
07/20/2015
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