Organization
SARA RUTH STEVENSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA RUTH STEVENSON PHD (OWNER)
(210) 822-7321
Entity
Organization
Contact information
Practice address
5625 BROADWAY ST, SAN ANTONIO, TX 78209-5719
(210) 822-7321
Mailing address
5625 BROADWAY ST, SAN ANTONIO, TX 78209-5719
(210) 822-7321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32427
TX
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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