Individual
GEO-ANNA QUINTANILLA HIRSHENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
14100 KARISSA CT, HOUSTON, TX 77049-3866
(210) 615-3483
(210) 593-9863
Mailing address
7272 WURZBACH RD 706, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
37194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186053801
—
TX
05
—
186053802
—
TX
05
—
186053803
—
TX
Enumeration date
07/02/2007
Last updated
11/02/2015
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