Individual
DR. TABATHA HOPE BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11212 HWY 151, SUITE 100, SAN ANTONIO, TX 78251-4498
(210) 450-9900
(210) 450-9901
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36234
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312629401
—
TX
Enumeration date
07/28/2010
Last updated
04/09/2013
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