Isabel Victoria Vazquez Morales

Individual provider Active NPI Psychologist · Longmeadow, MA

NPI 1568074052 · NPPES record last updated Feb 1, 2023

Key facts

NPI
1568074052
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
Practice address
175 Dwight Rd
Longmeadow, MA 01106-1576
Phone
(413) 237-9010
NPI assigned
Aug 18, 2020
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PR Yes

Addresses

Primary practice location

175 Dwight Rd
Longmeadow, MA 01106-1576

Mailing address

10 Calle Juan P Rodriguez
Coamo, PR 00769-2346
Phone (787) 709-3861

Other providers in Longmeadow, MA

All providers in Longmeadow, MA · Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.