Doctor Name: | DR. GRISSELLE CORDERO MENDEZ |
NPI Number: | 1023245735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 3367 |
Business Practice Address: | 2045 Ave Pedro Albizu Campos Suite #2 Aguadilla, PR - 006035959 |
Business Phone Number: | 9393391402 |
Business Fax Number: | |
Mailing Address: | 2045 Ave Pedro Albizu Campos, Suite #2 AGUADILLA |
State: | PR |
Postal Code: | 006035959 |
Phone Number: | 9393391402 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2009 |
NPI Last Update Date: | 01/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |