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Dr. Licelott Marie Maldonado, Clin. Psychologist

Psychologist, Clinical in Ponce, PR. Individual provider (NPI-1).

NPI number1801471024
StatusActive
Last updated in NPPESMar 10, 2021

Details

NPI
1801471024
Entity type
Individual (NPI-1)
Name
Dr. Licelott Marie Maldonado
Credential
Clin. Psychologist
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 10, 2021
Certification date
Mar 10, 2021
Last updated
Mar 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical5821PRYes

Practice location

450 Calle Ferrocarril Ste 203
Ponce, PR 00717-4105

Phone 787-638-3778

Mailing address

Po Box 8930
Ponce, PR 00732-8930

Phone 787-638-3778

Other practice locations

10 Calle Betances
Yauco, PR 00698-3647

Phone 787-638-3778

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