Organization
DAVIS PSYCHOLOGICAL HEALTH & WELLNESS PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA G. DAVIS PH.D. (OWNER/LICENSED PSYCHOLOGIST)
(210) 241-4954
Entity
Organization
Contact information
Practice address
1100 NW LOOP 410, STE 700, SAN ANTONIO, TX 78213-2263
(210) 241-4954
(210) 957-1628
Mailing address
11703 HUEBNER RD, STE 106-147, SAN ANTONIO, TX 78230-1201
(210) 241-4954
(210) 957-1628
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
34154
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
34154
TX
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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