Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 6921 | PR |
Y | 103TC0700X | Clinical Psychologist | 6921 | PR |
N | 103TS0200X | School Psychologist | 6921 | PR |
NPI | 1013583442 |
---|---|
Provider Name | Dr. Francheska Rachelle Tirado |
First Address | San German, PR 00683-2652 |
Second Address | Cabo Rojos, PR 00623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2021 |
Last Update Date | 11/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6921 | NONE (01) | PR |