Individual
JACQUELINE D FAISON-HARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 N LOOP 1604 E, SAN ANTONIO, TX 78232-1268
(210) 239-0066
Mailing address
5769 GALLOPING DR, APOPKA, FL 32712-6085
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022357
NY
103T00000X
Psychologist
071.022484
IL
103T00000X
Psychologist
40826
TX
103T00000X
Psychologist
PSY.0006778
CO
103T00000X
Psychologist
PY12803
FL
Other
Enumeration date
09/13/2017
Last updated
07/28/2026
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