Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 2828 | PR |
N | 103TC0700X | Clinical Psychologist | 2828 | PR |
N | 103TH0100X | Health Service | 2828 | PR |
N | 103TP2701X | Group Psychotherapist | 2828 | PR |
NPI | 1003025768 |
---|---|
Provider Name | Dr. Alicia Graciela Franco |
First Address | Mayaguez, PR 00681-0118 |
Second Address | Lajas, PR 00667-2509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |