Individual
DR. CAROLYN BLACK BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12500 NW MILITARY HWY STE 250, SAN ANTONIO, TX 78231-1871
(210) 302-6920
Mailing address
12500 NW MILITARY HWY STE 250, SAN ANTONIO, TX 78231-1871
(210) 302-6920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31390
TX
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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