Provider Demographics
NPI:1518040377
Name:DECLET, MARIA C (PHD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:C
Last Name:DECLET
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:F1 EL ALAMO DR
Mailing Address - Street 2:URB. EL ALAMO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4584
Mailing Address - Country:US
Mailing Address - Phone:787-790-0887
Mailing Address - Fax:787-272-4508
Practice Address - Street 1:1002 MUNOZ RIVERA AVE.
Practice Address - Street 2:SUITE 205 OLIMPO PLAZA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-5006
Practice Address - Country:US
Practice Address - Phone:787-763-0064
Practice Address - Fax:787-272-4508
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2008-12-29
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Provider Licenses
StateLicense IDTaxonomies
PR307103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical