Daniel David Fraticelli I, Psychologist
Psychologist in Coamo, PR. Individual provider (NPI-1).
NPI number1265663231
StatusActive
Last updated in NPPESAug 7, 2009
Details
- NPI
- 1265663231
- Entity type
- Individual (NPI-1)
- Name
- Mr. Daniel David Fraticelli I
- Credential
- Psychologist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2009
- Last updated
- Aug 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 3224 | PR | Yes |
Practice location
16 Calle Willie RosarioSuite 2
Coamo, PR 00769-3217
Phone 787-461-7518
Mailing address
La AlhambraGranada Street #2115
Ponce, PR 00716
Phone 787-461-7518
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