Doctor Name: | MRS. SUSAN E VILLALOBOS |
NPI Number: | 1427362029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CLINICAL SOCIAL WORK |
License Number: | 9970 |
Business Practice Address: | Carretera 146 Barrio Coordillera Ciales, PR - 00638 |
Business Phone Number: | 7874525386 |
Business Fax Number: | |
Mailing Address: | Po Box 651, CIALES |
State: | PR |
Postal Code: | 00638 |
Phone Number: | 7874525386 |
Fax Number: | 7878713919 |
NPI Enumeration Date: | 08/06/2010 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 9970 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |