Individual
LARA CONRAD-SHEARBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1919 OAKWELL FARMS PKWY STE 138, SAN ANTONIO, TX 78218-1725
(210) 819-5941
Mailing address
1919 OAKWELL FARMS PKWY STE 138, SAN ANTONIO, TX 78218-1725
(210) 819-5941
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
05598
MD
103T00000X
Psychologist
Primary
38931
TX
103T00000X
Psychologist
PY0838
NV
Other
Enumeration date
09/23/2014
Last updated
09/09/2021
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