Individual
DR. MARYANN WASILESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1515 TRUEMPER ST, JBSA LACKLAND, TX 78236-5583
(210) 671-2033
Mailing address
1515 TRUEMPER ST, JBSA LACKLAND, TX 78236-5583
(210) 671-2033
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYCH 7609
CA
Other
Enumeration date
05/21/2007
Last updated
08/14/2018
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