Individual
DR. LARISSA SUZETTE MERCADO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
445 AVE GONZALEZ CLEMENTE STE 215, MAYAGUEZ, PR 00682-1107
(939) 525-3222
Mailing address
445 AVE GONZALEZ CLEMENTE STE 304, MAYAGUEZ, PR 00682-1107
(787) 560-6178
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6834
PR
Other
Enumeration date
06/16/2021
Last updated
11/03/2021
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