Individual
ALICIA SAN MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
815 MARKET ST, GALVESTON, TX 77550-2725
(409) 770-6600
Mailing address
1607 PALCIO REAL DR, HOUSTON, TX 77047-4491
(832) 289-2869
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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