Advanced Psychological Services
Psychologist in San Antonio, TX. Organization (NPI-2).
NPI number1417666504
StatusActive
Last updated in NPPESNov 17, 2022
Details
- NPI
- 1417666504
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Psychological Services
- Organization subpart
- No
- Enumeration date
- Nov 17, 2022
- Certification date
- Nov 17, 2022
- Last updated
- Nov 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 103TP0814X | Psychologist, Psychoanalysis | – | – | |
| 103TP2701X | Psychologist, Group Psychotherapy | – | – |
Practice location
8626 Tesoro Dr Ste 490San Antonio, TX 78217-6217
Phone 210-202-0100
Mailing address
109 Hidden Pond DrAdkins, TX 78101-2778
Authorized official
Lori Gulley
Clinical Psychologist
2542626836
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