Individual
DR. LYNN M. MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D,
Contact information
Practice address
343 LARCHMONT DR, SAN ANTONIO, TX 78209-4272
(210) 829-0397
Mailing address
343 LARCHMONT DR, SAN ANTONIO, TX 78209-4272
(210) 380-0397
(210) 816-5900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23787
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172854501
—
TX
Enumeration date
07/19/2006
Last updated
06/09/2017
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