Individual
BETTY WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4400 NW LOOP 410 STE 100, SAN ANTONIO, TX 78229-5178
(210) 516-1500
Mailing address
21031 MARKET RDG, SAN ANTONIO, TX 78258-2483
(210) 233-6148
(210) 399-8721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
38180
TX
Other
Enumeration date
09/04/2007
Last updated
09/10/2020
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