Doctor Name: | DR. AMALYN PEREZ |
NPI Number: | 1053563817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 2583 |
Business Practice Address: | 3181 Calle Rio Bucana Pradera Del Rio Toa Alta, PR - 009539118 |
Business Phone Number: | 7879203320 |
Business Fax Number: | 7877307923 |
Mailing Address: | 3181 Calle Rio Bucana, Pradera Del Rio TOA ALTA |
State: | PR |
Postal Code: | 009539118 |
Phone Number: | 9396441500 |
Fax Number: | 7877307923 |
NPI Enumeration Date: | 10/10/2008 |
NPI Last Update Date: | 03/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |