Provider Demographics
NPI:1700155942
Name:BARRIOS FALCON, MELISSA (PSY D)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:BARRIOS FALCON
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:BARRIOS FALCON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:RR 5 BOX 8760
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9759
Mailing Address - Country:US
Mailing Address - Phone:787-503-8889
Mailing Address - Fax:
Practice Address - Street 1:1808 AVE DEL VALLE
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3901
Practice Address - Country:US
Practice Address - Phone:787-503-8889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-16
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4074103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical