Individual
DR. WADE PETREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
921 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 551-1408
Mailing address
921 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 551-1408
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38351
TX
103TC0700X
Clinical Psychologist
38351
TX
Other
Enumeration date
12/16/2019
Last updated
12/07/2022
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