Organization
SOUTH TEXAS PSYCHOLOGICAL ASSOCIATES & CONSULTANTS, LLC
Active
Other names
South Texas Psychological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE AVILA PH.D. (PSYCHOLOGIST)
(210) 504-4783
Entity
Organization
Contact information
Practice address
8201 ROUGHRIDER DR, WINDCREST, TX 78239-2430
(210) 504-4783
(210) 855-8133
Mailing address
8201 ROUGHRIDER DR, WINDCREST, TX 78239-2430
(210) 504-4783
(210) 855-8133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25320
TX
Other
Enumeration date
09/30/2015
Last updated
08/11/2020
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