Organization
LARLO BEHAVIORAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM LOPEZ (PSYD)
(915) 412-8751
Entity
Organization
Contact information
Practice address
18834 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-4177
(210) 468-7476
Mailing address
210 E SONTERRA BLVD APT 624, SAN ANTONIO, TX 78258-3955
(915) 242-9378
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2224139
COMPSYCH
TX
Enumeration date
10/14/2019
Last updated
04/25/2022
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