Individual
DR. C HASELMAYER FAYED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
411 SW 24TH ST, SAN ANTONIO, TX 78207
(614) 537-1239
Mailing address
411 SW 24TH ST, SAN ANTONIO, TX 78207-4617
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204356
TX
106H00000X
Marriage & Family Therapist
M.1700005
OH
Other
Enumeration date
12/28/2021
Last updated
01/12/2022
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