Individual
BERTHA ELIA RODARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
403 TREELINE PARK STE 101, SAN ANTONIO, TX 78209-2046
(210) 447-6363
(210) 447-6364
Mailing address
3227 GAZELLE RANGE, SAN ANTONIO, TX 78259-2268
(210) 787-8992
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34458
TX
Other
Enumeration date
03/18/2010
Last updated
01/13/2022
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