| Organization Name: | PSYCHOLOGISTIC |
| NPI Number: | 1063779155 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRISCILLE MARIE JOGLAR (DIRECTOR, CLINICAL PSYCHOLOGIST) |
| Mailing Address: | Ea4 Calle Rosa De Tejas La Rosaleda Toa Baja |
| State: | PR US |
| Postal Code: | 009494721 |
| Phone Number: | 7877952655 |
| Fax Number: | 7877952695 |
| NPI Enumeration Date: | 04/13/2012 |
| NPI Last Update Date: | 04/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2553 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |