Individual
DR. LAURIE BIZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1162 E SONTERRA BLVD, SUITE 130, SAN ANTONIO, TX 78258-4047
(210) 538-1970
Mailing address
1162 E SONTERRA BLVD, SUITE 130, SAN ANTONIO, TX 78258-4047
(210) 538-1970
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30855
TX
Other
Enumeration date
09/04/2014
Last updated
11/30/2016
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