Provider Demographics
NPI:1003539180
Name:FERIA, ANUSHKA KRISTINE (MPSY)
Entity Type:Individual
Prefix:
First Name:ANUSHKA
Middle Name:KRISTINE
Last Name:FERIA
Suffix:
Gender:F
Credentials:MPSY
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 536
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-0536
Mailing Address - Country:US
Mailing Address - Phone:787-705-5565
Mailing Address - Fax:
Practice Address - Street 1:26 CALLE DONCELLA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00913-4718
Practice Address - Country:US
Practice Address - Phone:787-619-9710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling