Doctor Name: | MRS. DIANISELLE TORRES |
NPI Number: | 1023340403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 3695 |
Business Practice Address: | 469 Ave Esmeralda 141 Cond. Plaza Esmeralda Guaynabo, PR - 009694280 |
Business Phone Number: | 7872038247 |
Business Fax Number: | 7879984355 |
Mailing Address: | 469 Ave Esmeralda, 141 Cond. Plaza Esmeralda GUAYNABO |
State: | PR |
Postal Code: | 009694280 |
Phone Number: | 7872038247 |
Fax Number: | 7879984355 |
NPI Enumeration Date: | 02/09/2010 |
NPI Last Update Date: | 02/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 3695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |