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Individual

SHELLEY EISENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
132 PRINCESS PASS, SAN ANTONIO, TX 78212-5337
(914) 582-4097
Mailing address
618 E EVERGREEN ST, SAN ANTONIO, TX 78212-4530

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
12/16/2021
Last updated
12/16/2021
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