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
Other
Enumeration date
09/13/2017
Last updated
08/08/2025
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