Sui Generis Clinica de Servicios Psicologicos P.S.C.

Organization Active NPI Psychologist · Toal Alta, PR

NPI 1669844338 · NPPES record last updated Oct 21, 2015

Key facts

NPI
1669844338
Entity type
Organization (NPI type 2)
Primary specialty
Psychologist 103T00000X
License
3962 (PR)
Legal business name
SUI GENERIS CLINICA DE SERVICIOS PSICOLOGICOS P.S.C.
Practice address
47 Calle Munoz Rivera
Toal Alta, PR 00953
Phone
(939) 338-1984
NPI assigned
Oct 21, 2015
Organization subpart
No

Authorized official

Name
Miss Angela M Taboas
Title
President
Phone
(787) 613-1744

National Provider Directory

Locations

47 Calle Luis Munoz Rivera
Toa Alta, PR 00953
Phone (939) 338-1984

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103T00000X 3962 PR Yes
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X 3001 PR
Occupational Health Clinical Nurse Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
364SX0106X 500 PR

Addresses

Primary practice location

47 Calle Munoz Rivera
Toal Alta, PR 00953

Mailing address

47 Calle Munoz Rivera
Toal Alta, PR 00953
Phone (939) 338-1984

Sources for this page

Verify at the official NPI Registry.