| Neuro-psych-therapy Llc | |
|
Urb. La Estancia 148 Via Pinta Caguas PR 00727 | |
| (787) 299-3841 | |
| (939) 945-8547 |
| Full Name | Neuro-psych-therapy Llc |
|---|---|
| Speciality | Psychologist |
| Location | Urb. La Estancia 148 Via Pinta, Caguas, Puerto Rico |
| Authorized Official Name and Position | Joselyd Hernandez (ADMINISTRATOR) |
| Authorized Official Contact | 7872993841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro-psych-therapy Llc Urb. La Estancia 148 Via Pinta Caguas PR 00727 Ph: (787) 299-3841 | Neuro-psych-therapy Llc Urb. La Estancia 148 Via Pinta Caguas PR 00727 Ph: (787) 299-3841 |
| NPI Number | 1316667231 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Medicare PECOS PAC ID | 9234513466 |
|---|---|
| Medicare Enrollment ID | O20220907001027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316667231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joselyd Hernandez Velazquez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104166768 PECOS PAC ID: 4880817816 Enrollment ID: I20220907001307 |
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