Individual
DR. STACIA MARIE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
21714 HARDY OAK BLVD, UNIT #104, SAN ANTONIO, TX 78258-4838
(210) 490-9062
Mailing address
21714 HARDY OAK BLVD, UNIT #104, SAN ANTONIO, TX 78258-4838
(210) 490-9062
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
30792
TX
103TB0200X
Cognitive & Behavioral Psychologist
30792
TX
103TC1900X
Counseling Psychologist
Primary
30792
TX
103TH0100X
Health Service Psychologist
30792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1794141
—
TX
Enumeration date
07/25/2006
Last updated
09/11/2025
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