Individual
DR. CHASE ALAN AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-7361
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-7361
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
PY60793595
WA
Other
Enumeration date
05/09/2016
Last updated
11/14/2022
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