Individual
YIMI OMOFUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, PHD
Contact information
Practice address
18102 TALAVERA RDG, SAN ANTONIO, TX 78257
(210) 461-8950
Mailing address
18102 TALAVERA RDG, #3229, SAN ANTONIO, TX 78257
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38414
TX
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
38414
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2016
Last updated
03/25/2026
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