Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 68 | PR |
Y | 103TC0700X | Clinical Psychologist | 68 | PR |
NPI | 1003038308 |
---|---|
Provider Name | Dr. Aida N Girod Solivan |
First Address | Guaynabo, PR 00969 |
Second Address | Guaynabo, PR 00969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 02/11/2009 |