Organization
AEON PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE PETREE PYSD (OWNER)
(210) 551-1408
Entity
Organization
Contact information
Practice address
921 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 551-1408
Mailing address
921 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 551-1408
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
12/07/2022
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