Provider Demographics
NPI:1144408527
Name:CRESPO, NADJA IVETTE (PHD)
Entity type:Individual
Prefix:DR
First Name:NADJA
Middle Name:IVETTE
Last Name:CRESPO
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:DD14 CALLE 215
Mailing Address - Street 2:URB VALLE ARRIBA HEIGHTS
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-3708
Mailing Address - Country:US
Mailing Address - Phone:787-647-3294
Mailing Address - Fax:
Practice Address - Street 1:100 AVE CALDERON APT 108
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-4910
Practice Address - Country:US
Practice Address - Phone:939-376-4999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2963103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2963OtherPSYCHOLOGIST LICENCE
PR2112567OtherDRIVER'S LICENCE