Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 3825 | PR |
Y | 103G00000X | Clinical Psychologist | 3825 | PR |
Y | 103TC0700X | Clinical Psychologist | 3825 | PR |
N | 103TF0000X | Family Psychologist | 3825 | PR |
N | 103TH0004X | Health Psychologist | 3825 | PR |
NPI | 1073825212 |
---|---|
Provider Name | Dr. Sandia Vargas |
First Address | Bayamon, PR 00959 |
Second Address | Bayamon, PR 00959 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2010 |
Last Update Date | 01/11/2018 |