Provider Demographics
NPI:1487857850
Name:AMARO, LILLYBETTE (PSY D)
Entity Type:Individual
Prefix:
First Name:LILLYBETTE
Middle Name:
Last Name:AMARO
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:L20 CALLE SANTA INES
Mailing Address - Street 2:URB. SANTA ELVIRA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3434
Mailing Address - Country:US
Mailing Address - Phone:787-737-0514
Mailing Address - Fax:
Practice Address - Street 1:L20 CALLE SANTA INES
Practice Address - Street 2:URB. SANTA ELVIRA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3434
Practice Address - Country:US
Practice Address - Phone:787-737-0514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1804103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical