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Marimar Luciano
Health Service Psychologist in Ponce, N/A
NPI 1154000107

Marimar Luciano is a Health Service Psychologist based in Ponce, and is specialized in Health Service. Marimar Luciano practices in Ponce, . The NPI Number for Marimar Luciano is 1154000107 and holds a License No. (N/A).

The current practice location address for Marimar Luciano is 388 Zona Ind Reparada 2, Ponce, and can be reached out via phone at 787-840-2575.

Location: 388 Zona Ind Reparada 2, Ponce, , 00732-7004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154000107
Provider Name
Marimar Luciano
Credential
Provider Entity Type
Individual
Gender
Female
Address
388 Zona Ind Reparada 2, Ponce, , 00732-7004
Phone Number
787-840-2575
Fax Number
Provider Enumeration Date
07/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
388 Zona Ind Reparada 2
City
Ponce
State
Zip
00716-2347
Phone Number
787-840-2575
Fax Number
person
Provider Business Mailing Address Details
Address
388 Zona Ind Reparada 2
City
Ponce
State
Zip
00716-2347
Phone Number
787-840-2575
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
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Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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