IndividualActive
Carla Lassalle
NPI 1720859556 · Clinical Child & Adolescent Psychologist · San Juan, PR
Provider details
- NPI number
- 1720859556
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7810 (PR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1631 Calle Santa Eduvigis # 1631
San Juan, PR 00926-4228
Phone: (939) 437-0717
Mailing address
1631 Calle Santa Eduvigis # 1631
San Juan, PR 00926-4228
Registry dates
- Enumerated
- 2024-01-10
- Last updated
- 2024-08-08
- Certified
- 2024-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.