Individual
DAVID RUSSELL SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPA, LSSP
Contact information
Practice address
2700 NE LOOP 410 STE 101, SAN ANTONIO, TX 78217-4840
(210) 362-5200
Mailing address
2700 NE LOOP 410 STE 101, SAN ANTONIO, TX 78217-4840
(210) 362-5200
(866) 332-3252
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
15541
TX
103TS0200X
School Psychologist
6557
TX
Other
Enumeration date
06/30/2020
Last updated
11/08/2023
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