Provider Demographics
NPI:1003025768
Name:FRANCO, ALICIA GRACIELA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:GRACIELA
Last Name:FRANCO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 118
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0118
Mailing Address - Country:US
Mailing Address - Phone:787-831-2908
Mailing Address - Fax:787-899-1835
Practice Address - Street 1:237 CALLE FLAMBOYAN
Practice Address - Street 2:CLINICA PARA EL CUIDADO Y TRATAMIENTO DE LA CONDUCTA
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-2509
Practice Address - Country:US
Practice Address - Phone:787-808-1835
Practice Address - Fax:787-899-1835
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2828103TC0700X, 103TH0100X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy