Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 103TC2200X | Psychologist | Clinical Child & Adolescent | 4021 | PUERTO RICO | No |
| 2 | 103TF0000X | Psychologist | Family | 4021 | PUERTO RICO | No |
| 3 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | 4021 | PUERTO RICO | No |
| 4 | 103TP2701X | Psychologist | Group Psychotherapy | 4021 | PUERTO RICO | No |
| 5 | 103TA0700X | Psychologist | Adult Development & Aging | 4021 | PUERTO RICO | Yes |
| 6 | 103TC0700X | Psychologist | Clinical | 4021 | PUERTO RICO | No |