Individual provider · NPI-1
Jivelisse Aguila-Cintron, Ph. D.
Psychologist, Clinical · Prattville, AL
NPI number1972230969
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1972230969
- Entity type
- Individual (NPI-1)
- Name
- Jivelisse Aguila-Cintron
- Credential
- Ph. D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2022
- Certification date
- Aug 1, 2022
- Last updated
- Aug 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 7307 | PR | Yes |
Practice location
1214 Mcclain DrPrattville, AL 36066-7565
Phone 334-293-2270
Mailing address
1214 Mcclain DrPrattville, AL 36066-7565
Phone 334-221-3994
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