Individual
DR. JASON WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
PO BOX 132, WATERVILLE, OH 43566-0132
(315) 755-6500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017633
NY
103TC0700X
Clinical Psychologist
0810009251
VA
Other
Enumeration date
06/19/2007
Last updated
02/12/2026
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