Provider Demographics
NPI:1003508235
Name:BARRETO LORENZO, YESAIRA ANYELIZ (PSYCHOLOGICAL COUNSE)
Entity Type:Individual
Prefix:
First Name:YESAIRA
Middle Name:ANYELIZ
Last Name:BARRETO LORENZO
Suffix:
Gender:F
Credentials:PSYCHOLOGICAL COUNSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB CAGUAS MILENIO I.
Mailing Address - Street 2:094 CALLE LAS OLAS
Mailing Address - City:PR
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:939-539-2099
Mailing Address - Fax:
Practice Address - Street 1:URB CAGUAS MILENIO I.
Practice Address - Street 2:094 CALLE LAS OLAS
Practice Address - City:PR
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:939-539-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6971103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling