Healthcare Provider Details

I. General information

NPI: 1588681209
Provider Name (Legal Business Name): KAREN D FOLCH-SERRANO PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN D. FOLCH PH.D.

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 CALLE DR. PAVIA FERNANDEZ STE 213
SAN JUAN PR
00909-2244
US

IV. Provider business mailing address

611 CALLE DR PAVIA FERNANDEZ STE 213
SAN JUAN PR
00909-2244
US

V. Phone/Fax

Practice location:
  • Phone: 939-286-6643
  • Fax:
Mailing address:
  • Phone: 939-286-6643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number1573
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number1573
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1573
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: