Stefany Ann Class, PHD

Individual provider Active NPI Clinical Psychologist · Juana Diaz, PR

NPI 1194430124 · NPPES record last updated Jan 16, 2023

Key facts

NPI
1194430124
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
7510 (PR)
Practice address
Villas del Prado Calle del Monte 70
Juana Diaz, PR 00795
Phone
(787) 672-8084
NPI assigned
Jan 13, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7510PRMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7510 PR Yes

Addresses

Primary practice location

Villas del Prado Calle del Monte 70
Juana Diaz, PR 00795

Mailing address

470 Calle del Monte
Juana Diaz, PR 00795-2728
Phone (787) 672-8084

Other providers in Juana Diaz, PR

All providers in Juana Diaz, PR · Clinical Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.