Provider Demographics
NPI:1518299270
Name:ARAGUNDE KOHL, URSULA A (PSY D)
Entity Type:Individual
Prefix:DR
First Name:URSULA
Middle Name:A
Last Name:ARAGUNDE KOHL
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 1:130 AVE WINSTON CHURCHILL
Mailing Address - Street 2:SUITE 1, PMB 208
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6018
Mailing Address - Country:US
Mailing Address - Phone:787-595-8581
Mailing Address - Fax:787-731-4962
Practice Address - Street 1:URB EL ESTADIO CALLE JOSE GRILLO 6
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3535
Practice Address - Country:US
Practice Address - Phone:787-595-8581
Practice Address - Fax:787-731-4962
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3498103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical