Katherine Malavenda, LPC, M.ED.
Individual provider Active NPI Professional Counselor · Aguadilla, PR
NPI 1346662905 · NPPES record last updated Aug 4, 2016
Key facts
- NPI
- 1346662905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4011 (PR)
- Practice address
- 310A Calle Guard
Ramey
Aguadilla, PR 00603 - Phone
- (252) 626-1316
- NPI assigned
- Jan 15, 2014
- 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)
- Yes
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304149 | NC | MD | Professional Counselor |
| 4011 | PR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4011 | PR | Yes |
| Professional Counselor | 101YP2500X | 304149 | NC |
Addresses
Primary practice location
310A Calle Guard
Ramey
Aguadilla, PR 00603
Mailing address
PO Box 5968
PMB 364
San Antonio, PR 00690
Phone (252) 626-1316
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12543005 | Other | PR | CAHQ |
Other providers in Aguadilla, PR
- Alfred Mair Sr.
- Zulma E. Maisonave
- Pedro J Maisonet Rivera
- Jorge Luis Malave Perez
- Angel B, Malave-Gomez
- Maleza Express Pharmacy
- Melixa Enith Mangome Senati
- Lilly Bell Marchena
- Marilia Pagan Santiago
- Orlando Marini Roman
All providers in Aguadilla, PR · Professional Counselor in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.