Individual
BRENDA ESMERALDA GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSSP
Contact information
Practice address
903 GROVE BND, SAN ANTONIO, TX 78253-5752
(480) 650-8919
Mailing address
903 GROVE BND, SAN ANTONIO, TX 78253-5752
(480) 650-8919
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
72094
TX
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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