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Organization

STONEBRIDGE BEHAVIORAL HEALTH, P.A.

Active
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Organization

STONEBRIDGE BEHAVIORAL HEALTH, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIRK L COVERSTONE PH.D. (PRESIDENT)
(713) 827-1510
Entity
Organization

Contact information

Practice address
13300 OLD BLANCO RD STE 180, SAN ANTONIO, TX 78216-7738
(432) 394-4664
Mailing address
13300 OLD BLANCO RD STE 180, SAN ANTONIO, TX 78216-7738
(713) 827-1510

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181349501
TX
Enumeration date
02/26/2007
Last updated
10/16/2013
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