Doctor Name: | MIGDALIA POUSA |
NPI Number: | 1184804122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2922 |
Business Practice Address: | Ave. Dr. Montalvo 10 Anasco, PR - 00610 |
Business Phone Number: | 7878261894 |
Business Fax Number: | |
Mailing Address: | Po Box 1043, ANASCO |
State: | PR |
Postal Code: | 006101043 |
Phone Number: | 7873213690 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 11/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 2922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |