Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 4827 | PR |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 4827 | PR |
N | 103TA0700X | Adult Development & Aging Psychologist | 4827 | PR |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4827 | PR |
Y | 103TC1900X | Counseling Psychologist | 4827 | PR |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4827 | PR |
N | 103TF0000X | Family Psychologist | 4827 | PR |
N | 103TF0200X | Forensic Psychologist | 4827 | PR |
N | 103TH0004X | Health Psychologist | 4827 | PR |
N | 103TH0100X | Health Service | 4827 | PR |
N | 103TM1800X | Intellectual & Developmental Disabilities | 4827 | PR |
N | 103TP2701X | Group Psychotherapist | 4827 | PR |
N | 103TR0400X | Rehabilitation Psychologist | 4827 | PR |
N | 103TS0200X | School Psychologist | 4827 | PR |
NPI | 1881026342 |
---|---|
Provider Name | Mr. Norman Javier Perez |
First Address | Cidra, PR 00739-8410 |
Second Address | Cidra, PR 00739-8410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2013 |
Last Update Date | 06/08/2013 |