Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 3203 | PR |
Y | 103G00000X | Clinical Psychologist | 3203 | PR |
Y | 103TC0700X | Clinical Psychologist | 3203 | PR |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3203 | PR |
NPI | 1023394723 |
---|---|
Provider Name | Dr. Frances Lynn Centeno |
First Address | Toa Alta, PR 00953-3204 |
Second Address | Bayamon, PR 00956-3207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2011 |
Last Update Date | 25/10/2011 |