Organization
I AM MIND & BODY WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN C. MENGDEN PH.D. (OWNER)
(210) 827-5055
Entity
Organization
Contact information
Practice address
901 NE LOOP 410 STE 508, SAN ANTONIO, TX 78209-1306
(210) 253-9763
(210) 255-1681
Mailing address
901 NE LOOP 410 STE 508, SAN ANTONIO, TX 78209-1306
(210) 253-9763
(210) 255-1681
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25013
TX
Other
Enumeration date
02/16/2018
Last updated
08/01/2018
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