Linda Camacho Pacheco, MA PSYCHOLOGY
Individual provider Active NPI Psychologist · Guanica, PR
NPI 1356533764 · NPPES record last updated Aug 10, 2007
Key facts
- NPI
- 1356533764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2837 (PR)
- Practice address
- Urb. Bahia #45 Guanica PR 00653
Guanica, PR 00653 - Phone
- (787) 632-4807
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2837 | PR | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2837 | PR | Yes |
Addresses
Primary practice location
Urb. Bahia #45 Guanica PR 00653
Guanica, PR 00653
Mailing address
Urb. Bahia #45 Guanica PR 00653
Guanica, PR 00653
Phone (787) 632-4807
Other providers in Guanica, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2007. 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.