Individual
MS. MISTIE DAWN SEAWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LICENSED PSYCH
Contact information
Practice address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 699-2272
Mailing address
2727 TREBLE CRK, 1015, SAN ANTONIO, TX 78258-4550
(210) 473-2432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
31929
TX
103TC0700X
Clinical Psychologist
Primary
31929
TX
Other
Enumeration date
01/08/2007
Last updated
01/16/2014
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