Individual
SUSAN H HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
935 RIKKI DR, BANDERA, TX 78003-5925
(210) 872-1713
(210) 492-6418
Mailing address
PO BOX 3661, BANDERA, TX 78003-6661
(210) 872-1713
(210) 492-6418
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
TX22945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032630801
—
TX
Enumeration date
08/27/2005
Last updated
04/14/2020
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