Individual
DR. MIGUEL ANTONIO YBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5121
Mailing address
11400 BRUCE JENNER LN, AUSTIN, TX 78748-2989
(512) 992-1852
(512) 992-1852
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
32569
TX
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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