| Doctor Name: | MYRIA A. IRIZARRY |
| NPI Number: | 1013137793 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 174 |
| Business Practice Address: | Be28 Calle Rio Amazonas Urb.valle Verde, Bayamon, PR - 009613273 |
| Business Phone Number: | 7874032899 |
| Business Fax Number: | |
| Mailing Address: | Be28 Calle Rio Amazonas, Urb.valle Verde, BAYAMON |
| State: | PR |
| Postal Code: | 009613273 |
| Phone Number: | 7874032899 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 174 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |