Individual
JANYNA MARIE MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
19016 STONE OAK PKWY STE 210, SAN ANTONIO, TX 78258-3281
(210) 860-9622
(844) 404-6016
Mailing address
19016 STONE OAK PKWY STE 210, SAN ANTONIO, TX 78258-3281
(210) 860-9622
(844) 404-6016
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
32917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035PB
BCBS TX
—
01
—
32917
PSYCHOLOGIST LICENSE
TX
Enumeration date
11/21/2005
Last updated
07/14/2020
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