Individual
DR. SUSAN R JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24165 W IH 10, SUITE 130, SAN ANTONIO, TX 78257-1159
(210) 698-2202
Mailing address
24165 W IH 10, SUITE 130, SAN ANTONIO, TX 78257-1159
(210) 698-2202
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
23352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00DX59
—
TX
Enumeration date
12/12/2006
Last updated
07/08/2007
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