| Doctor Name: | DR. DESIREE M BETANCOURT |
| NPI Number: | 1083884357 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D |
| License Number: | 2940 |
| Business Practice Address: | 305 Calle La Cruz Trujillo Alto, PR - 009765941 |
| Business Phone Number: | 7872932700 |
| Business Fax Number: | 7872932700 |
| Mailing Address: | Po Box 364, TRUJILLO ALTO |
| State: | PR |
| Postal Code: | 009770364 |
| Phone Number: | 7873915660 |
| Fax Number: | 7872932700 |
| NPI Enumeration Date: | 03/03/2008 |
| NPI Last Update Date: | 04/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |