Provider Demographics
NPI:1205243722
Name:LABOY, JESSENIA (PHD)
Entity type:Individual
Prefix:DR
First Name:JESSENIA
Middle Name:
Last Name:LABOY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2524
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-2524
Mailing Address - Country:US
Mailing Address - Phone:787-568-7360
Mailing Address - Fax:
Practice Address - Street 1:TORRE SAN PABLO # 68
Practice Address - Street 2:CALLE SANTA CRUZ OFICINA 606
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-909-5359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-16
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5471103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical