Individual
MARK RANDALL FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7400 MERTON MINTER ST, PSYCHOLOGY SERVICE (116B), SAN ANTONIO, TX 78229-4404
(210) 617-5121
(210) 949-3301
Mailing address
7400 MERTON MINTER ST, PSYCHOLOGY SERVICE (116B), SAN ANTONIO, TX 78229-4404
(210) 617-5121
(210) 949-3301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 0397
NV
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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