Organization
TEXAS PSYCHOLOGICAL AND CONSULTATION SERVICES PLLC
Active
Other names
TPACS
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY KIMBALL PHD (MANAGER)
(210) 233-6148
Entity
Organization
Contact information
Practice address
21031 MARKET RDG, SAN ANTONIO, TX 78258-2483
(210) 233-6148
(210) 399-8721
Mailing address
21031 MARKET RDG, SAN ANTONIO, TX 78258-2483
(210) 233-6148
(210) 399-8721
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
34699
TX
103TC0700X
Clinical Psychologist
34699
TX
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
34699
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101586
—
TX
05
—
310158601
—
TX
05
—
310158602
—
TX
Enumeration date
11/05/2012
Last updated
06/19/2020
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