Individual
LISA J. BODEN FELCHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
39654
TX
103TH0004X
Health Psychologist
Primary
39654
TX
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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