Provider Demographics
NPI:1770777005
Name:CENTRO DE DESARROLLO PSICO-ORGANIZACIONAL Y PSICOEDUCATIVO, INC.
Entity type:Organization
Organization Name:CENTRO DE DESARROLLO PSICO-ORGANIZACIONAL Y PSICOEDUCATIVO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:MARIEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:COTT POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-707-1090
Mailing Address - Street 1:1474 AVE SAN IGNACIO
Mailing Address - Street 2:URB. ALTAMESA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4739
Mailing Address - Country:US
Mailing Address - Phone:787-707-1090
Mailing Address - Fax:
Practice Address - Street 1:1474 AVE SAN IGNACIO
Practice Address - Street 2:URB. ALTAMESA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4739
Practice Address - Country:US
Practice Address - Phone:787-707-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty