| Innovations Psychotherapeutic Group, Psc | |
|
142 Calle Jose C Barbosa Moca PR 00676-4105 | |
| (939) 865-9653 | |
| (787) 877-6844 |
| Full Name | Innovations Psychotherapeutic Group, Psc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 142 Calle Jose C Barbosa, Moca, Puerto Rico |
| Authorized Official Name and Position | Carlos Francisco Luna (PRESIDENT) |
| Authorized Official Contact | 9398659653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovations Psychotherapeutic Group, Psc 142 Calle Jose C Barbosa Moca PR 00676-4105 Ph: (939) 865-9653 | Innovations Psychotherapeutic Group, Psc 142 Calle Jose C Barbosa Moca PR 00676-4105 Ph: (939) 865-9653 |
| NPI Number | 1992143283 |
|---|---|
| Provider Enumeration Date | 06/07/2013 |
| Last Update Date | 06/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992143283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4567 (Puerto Rico) | Primary |
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