Individual
DR. PRADEEP AJAY THAMBOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
11327 EXPO BLVD APT 210, SAN ANTONIO, TX 78230-1738
(518) 860-4200
Mailing address
11327 EXPO BLVD APT 210, SAN ANTONIO, TX 78230-1738
(518) 860-4200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
39601
TX
103TC0700X
Clinical Psychologist
39601
TX
Other
Enumeration date
04/15/2024
Last updated
04/11/2025
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