Organization
PSYCHFIT360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA E REARDON PHD (LICENSED PSYCHOLOGIST)
(479) 283-1140
Entity
Organization
Contact information
Practice address
8626 TESORO DR STE 490, SAN ANTONIO, TX 78217-6217
(210) 202-0100
Mailing address
7013 LIONS PARK, SAN ANTONIO, TX 78252-1775
(479) 283-1140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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