Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1948 | PR |
Y | 103TC0700X | Clinical Psychologist | 1948 | PR |
NPI | 1003809658 |
---|---|
Provider Name | Dr. Teresa Dalmau |
First Address | San Juan, PR 00918 |
Second Address | San Juan, PR 00918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 17/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P62603 | (02) | PR |