Provider Demographics
NPI:1366023418
Name:STUART SANCHEZ, SHIRLY N (PSY D)
Entity Type:Individual
Prefix:DR
First Name:SHIRLY
Middle Name:N
Last Name:STUART SANCHEZ
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 1:8 AVE LAS CUMBRES KM 1.2 SUITE 18
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-485-2544
Mailing Address - Fax:
Practice Address - Street 1:8 AVENIDA LAS CUMBRES KM 1.2 SUITE 8
Practice Address - Street 2:SUITE 8
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-485-2544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6918103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical