Provider Demographics
NPI:1548545098
Name:MARTELL ALCOVER, EMELY (PSY D)
Entity type:Individual
Prefix:
First Name:EMELY
Middle Name:
Last Name:MARTELL ALCOVER
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 GONZALEZ CLEMENTE AVE.
Mailing Address - Street 2:SUITE 212 VAL HARBOUR
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-466-6414
Mailing Address - Fax:
Practice Address - Street 1:445 GONZALEZ CLEMENTE AVE.
Practice Address - Street 2:SUITE 212 VAL HARBOUR
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682
Practice Address - Country:US
Practice Address - Phone:787-466-6414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR87021041C0700X
PR4287103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical