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General NPI Number Information
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NPI Number | 1508789652
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Entity Type | Organization
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Legal Business Name | CENTRO DE PSICOLOGIA Y SANACION, LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 8133 CALLE CONCORDIA STE 202
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City | PONCE
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State | PR
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Zip | 00717-1543
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Country | US
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Telephone | 787-466-4287
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Fax |
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Provider Business Mailing Address
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Address Line | 2304 CALLE LOMA URB. VALLE ALTO
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City | PONCE
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State | PR
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Zip | 00730-4145
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Country | US
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Telephone | 787-702-3918
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOANIE MORALES SANTIAGO
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Credential | PSY D
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Telephone | 787-702-3918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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