Dr. John Martin Velasquez, Ph.D., LP
Psychologist, Clinical in San Antonio, TX. Individual provider (NPI-1).
NPI number1508317116
StatusActive
Last updated in NPPESOct 18, 2016
Details
- NPI
- 1508317116
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Martin Velasquez
- Credential
- Ph.D., LP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2016
- Last updated
- Oct 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 30898 | TX | Yes |
Practice location
4030 Tallulah DrSan Antonio, TX 78218-3448
Phone 210-241-4180
Mailing address
4030 Tallulah DrSan Antonio, TX 78218-3448
Phone 210-241-4180
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