Larlo Behavioral Services, Pllc | |
18834 Stone Oak Pkwy Ste 104 San Antonio TX 78258-4177 | |
(210) 468-7476 | |
Not Available |
Full Name | Larlo Behavioral Services, Pllc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 18834 Stone Oak Pkwy Ste 104, San Antonio, Texas |
Authorized Official Name and Position | Abraham Lopez (PSYD) |
Authorized Official Contact | 9154128751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Larlo Behavioral Services, Pllc 210 E Sonterra Blvd Apt 624 San Antonio TX 78258-3955 Ph: (915) 242-9378 | Larlo Behavioral Services, Pllc 18834 Stone Oak Pkwy Ste 104 San Antonio TX 78258-4177 Ph: (210) 468-7476 |
NPI Number | 1497397236 |
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Provider Enumeration Date | 10/14/2019 |
Last Update Date | 04/25/2022 |
Certification Date | 04/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497397236 | NPI | - | NPPES |
2224139 | Other | TX | COMPSYCH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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