Individual
DR. LISMARIE REYES VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7272 WURZBACH RD, SUITE 706, SAN ANTONIO, TX 78240-4801
(210) 615-3483
Mailing address
7272 WURZBACH RD, SUITE 706, SAN ANTONIO, TX 78240-4801
(210) 615-3483
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
14405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14405
LICENSE
TX
Enumeration date
12/07/2016
Last updated
12/07/2016
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