Provider Demographics
NPI:1669619631
Name:BARRETO CORREA, FRANCHESKA (PSYD)
Entity type:Individual
Prefix:
First Name:FRANCHESKA
Middle Name:
Last Name:BARRETO CORREA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D32 CALLE MONTE MEMBRILLO
Mailing Address - Street 2:LOMAS DE CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8009
Mailing Address - Country:US
Mailing Address - Phone:787-646-5397
Mailing Address - Fax:
Practice Address - Street 1:CARR. 857 KM. 0.4 BO. CANOVANILLAS
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-0000
Practice Address - Country:US
Practice Address - Phone:787-646-5397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3080103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3080OtherLICENCIA MEDICA