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Organization

KRISTINE JOHNSTON GERWELL, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTINE JOHNSTON GERWELL PH.D. (OWNER/ CLINICAL DIRECTOR)
(210) 829-7471
Entity
Organization

Contact information

Practice address
130 LEWIS ST, SAN ANTONIO, TX 78212-5538
(210) 829-7471
(210) 829-5398
Mailing address
130 LEWIS ST, SAN ANTONIO, TX 78212-5538
(210) 829-7471
(210) 829-5398

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
228590
TX

Other

Enumeration date
04/19/2012
Last updated
04/19/2012
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