Individual
DR. JUSTIN O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP, ABCN
Contact information
Practice address
9643 HUEBNER RD STE 103, SAN ANTONIO, TX 78240-1752
(800) 291-1644
(210) 855-3988
Mailing address
9643 HUEBNER RD STE 103, SAN ANTONIO, TX 78240-1752
(800) 291-1644
(210) 855-3988
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
36901
TX
103T00000X
Psychologist
36901
TX
103TF0200X
Forensic Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36901
TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS
TX
01
—
8135
AMERICAN BOARD OF PROFESSIONAL PSYCHOLOGY (ABPP, ABCN)
—
Enumeration date
12/14/2012
Last updated
04/12/2021
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