Provider Demographics
NPI:1841832169
Name:NAJUL SEDA, FABIOLA P (PHD)
Entity type:Individual
Prefix:DR
First Name:FABIOLA
Middle Name:P
Last Name:NAJUL SEDA
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 1868
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-1868
Mailing Address - Country:US
Mailing Address - Phone:787-624-3880
Mailing Address - Fax:
Practice Address - Street 1:CARR 123 KM 36.6 INT 522 KM 0.2
Practice Address - Street 2:BO. GARZAS
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601
Practice Address - Country:US
Practice Address - Phone:787-624-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-09
Last Update Date:2022-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6247103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6247OtherPSICOLOGA CLINICA