Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 6332 | PR |
NPI | 1053943456 |
---|---|
Provider Name | Gabriela J Calderon |
First Address | Bayamon, PR 00957-6809 |
Second Address | Bayamon, PR 00957-6809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2020 |
Last Update Date | 04/02/2020 |