Individual
DR. CAROL ANN FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
7272 WURZBACH RD STE 706, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Mailing address
7272 WURZBACH RD STE 706, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38033
TX
103TC1900X
Counseling Psychologist
1374
NM
Other
Enumeration date
08/06/2018
Last updated
08/27/2020
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