Individual
LISA M. KILPELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 450-6440
(210) 450-2104
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-6440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
37210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358280102
—
TX
Enumeration date
06/01/2016
Last updated
07/18/2016
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