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Individual

MS. NEREYDA G PEDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
13330 BLANCO RD, #606, SAN ANTONIO, TX 78216-2193
(210) 882-8466
(210) 314-4449
Mailing address
206 HUNTERS BRANCH S, SHAVANO PARK, TX 78231-1208
(210) 882-8466
(210) 314-4498

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
19897
TX
103TC1900X
Counseling Psychologist
Primary
19897
TX
103TF0000X
Family Psychologist
19897
TX
106H00000X
Marriage & Family Therapist
19897
TX

Other

Enumeration date
01/24/2010
Last updated
01/24/2010
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