Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1458 | PR |
Y | 103TC0700X | Clinical Psychologist | 1458 | PR |
NPI | 1013121888 |
---|---|
Provider Name | Deborah Ann Van Harlinger |
First Address | Caguas, PR 00726-4960 |
Second Address | San Juan, PR 00922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |