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Individual

MR. ROGER J OLIVARRI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1350 N LOOP 1604 E STE 106, SAN ANTONIO, TX 78232-1425
(210) 614-4990
(210) 614-4991
Mailing address
17915 BELLA LUNA WAY, SAN ANTONIO, TX 78257-5012
(210) 391-9688

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36843
TX
103TC2200X
Clinical Child & Adolescent Psychologist

Other

Enumeration date
07/11/2011
Last updated
09/07/2023
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