Individual
DR. MARY ZOILA PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4538 CENTERVIEW STE 154, SAN ANTONIO, TX 78228-1308
(210) 233-1566
(210) 451-7466
Mailing address
4538 CENTERVIEW STE 154, SAN ANTONIO, TX 78228-1308
(210) 233-1566
(210) 451-5746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151905006
—
TX
Enumeration date
05/09/2006
Last updated
04/07/2022
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