Individual
NICHOLE WICKER VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4342
(210) 916-5397
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4342
(210) 916-5397
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2012033734
MO
103T00000X
Psychologist
Primary
36782
TX
Other
Enumeration date
11/26/2012
Last updated
04/11/2018
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