Individual
JEFFREY MCCONIHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 539-6203
Mailing address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
(210) 916-5102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1512
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2008
Last updated
08/30/2023
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