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Organization
TWINKLE PEDS PSYCH PLLC
Active
Organization
TWINKLE PEDS PSYCH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNENNA AWAGU (CHIEF OPERATING OFFICER)
(210) 686-6318
Entity
Organization
Contact information
Practice address
7666 BANDERA RD, SAN ANTONIO, TX 78238-1262
(210) 686-6318
Mailing address
12175 NETWORK BLVD STE 100, SAN ANTONIO, TX 78249-3432
(210) 797-7181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
08/13/2024
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