Individual
DR. PAUL T INGMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2128 BABCOCK RD BLDG 1, SAN ANTONIO, TX 78229-4411
(210) 340-1141
(210) 344-3862
Mailing address
2128 BABCOCK RD BLDG 1, SAN ANTONIO, TX 78229-4411
(210) 340-1141
(210) 344-3862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22978
TX
Other
Enumeration date
09/25/2006
Last updated
09/14/2007
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