Individual
DR. JOHN KENNETH REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
16414 SAN PEDRO AVE, SUITE 545, SAN ANTONIO, TX 78232-2277
(210) 495-7733
(210) 497-5450
Mailing address
16414 SAN PEDRO AVE, SUITE 545, SAN ANTONIO, TX 78232-2277
(210) 495-7733
(210) 497-5450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-1444
TX
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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