Legacy Psychological Services, Pllc
NPI #1205505674 in San Antonio, Texas
Provider Information
- NPI Number
- 1205505674
- Entity Type
- Organization
- Organization Name
- Legacy Psychological Services, Pllc
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Sep 9, 2021
- Last Updated
- Sep 9, 2021
Practice Location
- Address
- 1919 OAKWELL FARMS PKWY STE 138
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78218-1725
- Phone
- (210) 819-5941
Authorized Official
- Name
- LARA CONRAD-SHEARBURN, PHD
- Title
- LICENSED PSYCHOLOGIST
- Phone
- (210) 819-5941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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