Dr. Licelott M Maldonado, CLIN PSYCHOLOGIST
Psychologist, Clinical in Ponce, Puerto Rico
1801471024- Practice location
- 450 Calle Ferrocarril Ste 203, Ponce, PR 00717-4105
- Phone
- 787-638-3778
- Fax
- —
- Last updated
- March 10, 2021
Licelott Marie Maldonado is a Psychologist, Clinical based in Ponce, PR. Licelott Marie Maldonado practices in Ponce, PR and has the professional credentials of CLIN PSYCHOLOGIST. The NPI Number for Licelott Marie Maldonado is 1801471024 and holds a License No. 5821 (PR). The current practice location address for Licelott Marie Maldonado is 450 Calle Ferrocarril Ste 203, Ponce, PR 00717-4105 and can be reached out via phone at 787-638-3778.
Provider Profile Details
- NPI Number
- 1801471024
- Provider Name
- Licelott Marie Maldonado
- Credential
- CLIN PSYCHOLOGIST
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 450 Calle Ferrocarril Ste 203, Ponce, PR 00717-4105
- Phone Number
- 787-638-3778
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 10, 2021
- Last Update Date
- March 10, 2021
- Certification Date
- March 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 450 Calle Ferrocarril Ste 203
Ponce, PR 00717-4105 - City
- Ponce
- State
- Puerto Rico
- Zip
- 00717-4105
- Phone Number
- 787-638-3778
Provider Business Mailing Address Details
- Address
- Po Box 8930
Ponce, PR 00732-8930 - City
- Ponce
- State
- PR
- Zip
- 00732-8930
- Phone Number
- 787-638-3778
License Information
- License Number
- 5821
- License State
- PR
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Licelott M Maldonado, CLIN PSYCHOLOGIST?
The NPI number of Dr. Licelott M Maldonado, CLIN PSYCHOLOGIST is 1801471024. It was assigned on March 10, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Licelott M Maldonado, CLIN PSYCHOLOGIST?
Dr. Licelott M Maldonado, CLIN PSYCHOLOGIST is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 5821.
Where does Dr. Licelott M Maldonado, CLIN PSYCHOLOGIST practice?
The practice location is 450 Calle Ferrocarril Ste 203, Ponce, PR 00717-4105. The office can be reached at 787-638-3778 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801471024 directly on the NPPES registry website.