Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 2999 | PR |
Y | 103G00000X | Clinical Psychologist | 2999 | PR |
Y | 103TC0700X | Clinical Psychologist | 2999 | PR |
N | 103TC1900X | Counseling Psychologist | 2999 | PR |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2999 | PR |
N | 103TF0000X | Family Psychologist | 2999 | PR |
N | 103TH0100X | Health Service | 2999 | PR |
N | 103TM1800X | Intellectual & Developmental Disabilities | 2999 | PR |
N | 103TP0016X | Prescribing (Medical) | 2999 | PR |
N | 103TP2701X | Group Psychotherapist | 2999 | PR |
N | 103TR0400X | Rehabilitation Psychologist | 2999 | PR |
NPI | 1760921142 |
---|---|
Provider Name | Jasmin Jenil Lorenzo |
First Address | Aguada, PR 00602-9257 |
Second Address | Aguada, PR 00602-9257 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2017 |
Last Update Date | 17/02/2017 |