Provider Demographics
NPI:1821430984
Name:MORALES, MARILYN (PSY D)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:MORALES
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:PASEOS DE JACARANDA
Mailing Address - Street 2:15017 CALLE UCAR
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-9600
Mailing Address - Country:US
Mailing Address - Phone:787-234-2458
Mailing Address - Fax:
Practice Address - Street 1:PLAZA SAN CRISTOBAL CARR PR 506 KM 1.0 COTO LAUREL
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00780
Practice Address - Country:US
Practice Address - Phone:787-981-8620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist