Individual
CASEY THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7526 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-4001
(210) 450-6440
(210) 450-2104
Mailing address
7526 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-4001
(210) 450-6440
(210) 450-2104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
39691
TX
Other
Enumeration date
06/29/2023
Last updated
11/16/2023
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