Provider Demographics
NPI:1982886719
Name:VARELA DIEPPA, ALMA Y (MA)
Entity Type:Individual
Prefix:MS
First Name:ALMA
Middle Name:Y
Last Name:VARELA DIEPPA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12-6 CALLE SEGOVIA
Mailing Address - Street 2:URBANIZACION TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3102
Mailing Address - Country:US
Mailing Address - Phone:787-783-3154
Mailing Address - Fax:787-273-9861
Practice Address - Street 1:12-6 CALLE SEGOVIA
Practice Address - Street 2:URBANIZACION TORRIMAR
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3102
Practice Address - Country:US
Practice Address - Phone:787-783-3154
Practice Address - Fax:787-273-9861
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1046103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist