Individual
DR. YAJAIRA JOHNSON-ESPARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207
(210) 358-3695
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3695
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402650201
—
TX
Enumeration date
11/28/2016
Last updated
11/01/2019
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