Provider Demographics
NPI:1588090468
Name:ADAP PSYCHOLOGY & CONSULTING, PSC
Entity type:Organization
Organization Name:ADAP PSYCHOLOGY & CONSULTING, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-780-0752
Mailing Address - Street 1:3 CALLE ISLETA
Mailing Address - Street 2:APTO. 3D CONDOMINIO LAS TORRES SUR
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-5920
Mailing Address - Country:US
Mailing Address - Phone:787-780-0752
Mailing Address - Fax:787-780-0752
Practice Address - Street 1:3 CALLE ISLETA
Practice Address - Street 2:APTO. 3D CONDOMINIO LAS TORRES SUR
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5920
Practice Address - Country:US
Practice Address - Phone:787-780-0752
Practice Address - Fax:787-780-0752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)