Individual
DR. KATE E GLYWASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
7940 FLOYD CURL DIVE, SUITE 1040, SAN ANTONIO, TX 78229-3606
(210) 865-6720
Mailing address
PO BOX 700735, SAN ANTONIO, TX 78270-9998
(210) 865-6720
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
364936
TX
103TC0700X
Clinical Psychologist
364936
TX
103TR0400X
Rehabilitation Psychologist
364936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
—
Enumeration date
10/23/2006
Last updated
06/18/2014
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