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Individual

DR. CLYDE P DONAHOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
7400 MERTON MINTER, SAN ANTONIO, TX 78229
(210) 617-5121
Mailing address
8319 TIMBER BASIN, SAN ANTONIO, TX 78250
(210) 617-5121

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-5447
TX

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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