Individual
MRS. DAMIANA LEA MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
12 INTER PARK BLVD, #105, SAN ANTONIO, TX 78216
(210) 822-0475
Mailing address
11511 ESCANCENA LN, SAN ANTONIO, TX 78253-6596
(956) 279-3031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104186
TX
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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