Individual
GHIAN FHILLIPE PIERALDI VASSALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7272 WURZBACH RD STE 706, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Mailing address
10800 LAKELINE BLVD APT 6303, AUSTIN, TX 78717-1080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38938
TX
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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