Organization
JODI CEBALLOS, PSY.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI L CEBALLOS PSY.D. (CLINICAL PSYCHOLOGIST)
(830) 313-6268
Entity
Organization
Contact information
Practice address
901 N BEDELL AVE STE F, DEL RIO, TX 78840-4170
(830) 313-6268
(830) 433-8228
Mailing address
901 N BEDELL AVE STE F, DEL RIO, TX 78840-4170
(830) 313-6268
(830) 433-8228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34985
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286660001
—
TX
Enumeration date
04/01/2012
Last updated
04/01/2012
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