| Doctor Name: | LIZ TEJADA |
| NPI Number: | 1194028738 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1613 |
| Business Practice Address: | Carr. 307 Km. 8.9 Poblado Boqueron Cabo Rojo, PR - 00622 |
| Business Phone Number: | 7875990841 |
| Business Fax Number: | |
| Mailing Address: | Po Box 833, LAJAS |
| State: | PR |
| Postal Code: | 006670833 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2010 |
| NPI Last Update Date: | 12/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 1613 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |