| Doctor Name: | MRS. VANESSA VAZQUEZ |
| NPI Number: | 1386033074 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 4054 |
| Business Practice Address: | 179 Ave Felix Rios Aibonito, PR - 007053528 |
| Business Phone Number: | 7872186144 |
| Business Fax Number: | 7879910184 |
| Mailing Address: | Po Box 117, LA PLATA |
| State: | PR |
| Postal Code: | 007860117 |
| Phone Number: | 7872186144 |
| Fax Number: | 7879910184 |
| NPI Enumeration Date: | 01/18/2015 |
| NPI Last Update Date: | 01/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 4054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |