Individual
DR. LAURA LEAL AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9500 TIOGA DR # A, SAN ANTONIO, TX 78230-3118
(210) 616-0828
(855) 616-0829
Mailing address
6 DEVON CT, MANSFIELD, TX 76063-4890
(815) 985-8928
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071006779
IL
103TC0700X
Clinical Psychologist
Primary
36945
TX
Other
Enumeration date
06/21/2006
Last updated
03/15/2021
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