Individual
DR. DIANE LAVERNE COALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
16803 TURKEY POINT ST, SAN ANTONIO, TX 78232-1828
(210) 490-2632
Mailing address
16803 TURKEY POINT ST, SAN ANTONIO, TX 78232-1828
(210) 490-2632
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
37428
TX
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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