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Individual

DR. JESLINA JAYANTI RAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-9000
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36260
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
320676501
TX
01
320676502
CSHCN
TX
Enumeration date
07/16/2012
Last updated
02/24/2022
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