Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 5298 | PR |
Y | 103T00000X | Psychologist | 5298 | PR |
N | 103TA0700X | Adult Development & Aging Psychologist | 5298 | PR |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 5298 | PR |
N | 103TC1900X | Counseling Psychologist | 5298 | PR |
N | 103TF0000X | Family Psychologist | 5298 | PR |
N | 103TH0004X | Health Psychologist | 5298 | PR |
N | 103TH0100X | Health Service | 5298 | PR |
N | 103TP2701X | Group Psychotherapist | 5298 | PR |
N | 103TR0400X | Rehabilitation Psychologist | 5298 | PR |
N | 103TS0200X | School Psychologist | 5298 | PR |
NPI | 1588092134 |
---|---|
Provider Name | Miss Daiber Naileen Carrion |
First Address | Caguas, PR 00727-1156 |
Second Address | Cidra, PR 00739-9719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2013 |
Last Update Date | 17/10/2013 |