Provider Demographics
NPI:1194852889
Name:DELVALLE, JENNIFER ZARITZA (PSY D)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ZARITZA
Last Name:DELVALLE
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3524 COND THE RESIDENCES
Mailing Address - Street 2:APT. 1313 PARQUE ESCORIAL
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-5035
Mailing Address - Country:US
Mailing Address - Phone:787-736-3300
Mailing Address - Fax:787-736-3300
Practice Address - Street 1:5 MUNOZ RIVERA NORTE BLOQUE 2
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754
Practice Address - Country:US
Practice Address - Phone:787-736-3300
Practice Address - Fax:787-736-3300
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2246103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical