Provider Demographics
NPI:1104140730
Name:POU, PILAR MARIE (PSYD)
Entity type:Individual
Prefix:
First Name:PILAR
Middle Name:MARIE
Last Name:POU
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SABANERA DORADO 372
Mailing Address - Street 2:CORREDOR DE LA ARBOLEDA
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-203-0730
Mailing Address - Fax:
Practice Address - Street 1:372 CORREDOR DE LA ARBOLEDA
Practice Address - Street 2:SABANERA DORADO
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-3628
Practice Address - Country:US
Practice Address - Phone:787-203-0730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1726103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent