Provider Demographics
NPI:1023394723
Name:CENTENO, FRANCES LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:LYNN
Last Name:CENTENO
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 1:1471 CALLE AGUAS TIBIAS
Mailing Address - Street 2:LAS CASCADAS
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-3204
Mailing Address - Country:US
Mailing Address - Phone:787-949-0758
Mailing Address - Fax:
Practice Address - Street 1:3B24 AVE NOGAL
Practice Address - Street 2:LOMAS VERDES
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-3207
Practice Address - Country:US
Practice Address - Phone:787-949-0758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3203103TB0200X, 103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent