Provider Demographics
NPI:1447036207
Name:BERRIOS, SHEILA N (PSYD)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:N
Last Name:BERRIOS
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:URB HORIZONTE
Mailing Address - Street 2:CALLE ESPERANZA F-1
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-396-0186
Mailing Address - Fax:
Practice Address - Street 1:URB. HORIZONTE
Practice Address - Street 2:CALLE ESPERANZA F-1
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-0077
Practice Address - Country:US
Practice Address - Phone:787-396-0186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7119103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty