IndividualActive
Jaisselle Vega Rosaly, PHD
NPI 1104379320 · Cognitive & Behavioral Psychologist · Ponce, PR
Provider details
- NPI number
- 1104379320
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 5738 (PR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
775 Calle Caoba
Centro Comercial Los Caobos, Suite 6
Ponce, PR 00716-2610
Phone: (787) 677-0503
Mailing address
775 Calle Caoba
Ponce, PR 00716-2610
Registry dates
- Enumerated
- 2016-07-25
- Last updated
- 2016-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.