Individual
ASHLEIGH ELIZABETH FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11750 MISSION TRACE ST, SAN ANTONIO, TX 78230-2120
(210) 414-2210
Mailing address
11750 MISSION TRACE ST, SAN ANTONIO, TX 78230-2120
(210) 414-2210
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38579
TX
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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