Individual
IVETTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 WYOMING ST, SAN ANTONIO, TX 78203-1320
(210) 995-0234
Mailing address
1102 WYOMING ST, SAN ANTONIO, TX 78203-1320
(210) 995-0234
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
39337
TX
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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