Organization
COLLEEN M CORCORAN PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN MARIE CORCORAN PH.D. (OWNER)
(210) 690-6014
Entity
Organization
Contact information
Practice address
13138 HUNTERS BROOK ST, SAN ANTONIO, TX 78230-2002
(210) 690-6014
(210) 493-3606
Mailing address
13138 HUNTERS BROOK ST, SAN ANTONIO, TX 78230-2002
(210) 690-6014
(210) 493-3606
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00363R
BCBS OF TEXAS
—
05
—
142427701
—
TX
Enumeration date
09/05/2006
Last updated
03/17/2010
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