Organization
YB ELIAS PSYCHOLOGICAL AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVONNE B ELIAS PHD (CEO)
(210) 920-1369
Entity
Organization
Contact information
Practice address
7300 BLANCO RD STE 501, SAN ANTONIO, TX 78216-4941
(210) 920-1369
Mailing address
PO BOX 5351, SAN ANTONIO, TX 78201-0351
(210) 920-1369
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3224289-04
—
TX
Enumeration date
03/08/2018
Last updated
03/08/2018
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