| Doctor Name: | DR. GLENDA L VELEZ |
| NPI Number: | 1275502353 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 2158 |
| Business Practice Address: | 124 Calle Jose I Quinton Suite 7 Coamo, PR - 007693050 |
| Business Phone Number: | 7876321179 |
| Business Fax Number: | |
| Mailing Address: | 15422 Calle Flamboyan, Paseo Jacaranda SANTA ISABEL |
| State: | PR |
| Postal Code: | 007579621 |
| Phone Number: | 7876321179 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 06/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |