Provider Demographics
NPI:1609624949
Name:VELEZ, MARIE D (PSY D)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:D
Last Name:VELEZ
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. QUINTA LAS MUESAS CALLE FRANCISCO COLON
Mailing Address - Street 2:#232 CASA BB9
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736
Mailing Address - Country:US
Mailing Address - Phone:787-595-9538
Mailing Address - Fax:
Practice Address - Street 1:CARR 189 URB DELGADO
Practice Address - Street 2:N-15
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-595-9538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4826103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling