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Individual

ELLEN SHROUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
8300 FLOYD CURL DR, SAN ANTONIO, TX 78229-3931
(210) 450-9100
(210) 450-6009
Mailing address
8300 FLOYD CURL DR, SAN ANTONIO, TX 78229-3931
(210) 450-9100
(210) 450-6009

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
30891
TX
103TC0700X
Clinical Psychologist
Primary
30891
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148241604
TX
Enumeration date
08/30/2006
Last updated
06/10/2024
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