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Individual

DR. STACY OGBEIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
903 W MARTIN ST, FAMILY HEALTH CENTER-DOWNTOWN, SAN ANTONIO, TX 78207-0903
(210) 358-3985
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(221) 035-8398

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36820
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
348494101
TX
01
348494102
CSHCN
TX
Enumeration date
10/13/2014
Last updated
10/13/2015
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