| Pernicano Psychological Services, Pllc | |
|
8800 Village Dr Ste 209 San Antonio TX 78217-5420 | |
| (210) 202-0100 | |
| Not Available |
| Full Name | Pernicano Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8800 Village Dr Ste 209, San Antonio, Texas |
| Authorized Official Name and Position | Patricia Pernicano (OWNDER) |
| Authorized Official Contact | 5026490697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pernicano Psychological Services, Pllc 8800 Village Dr Ste 209 San Antonio TX 78217-5420 Ph: (210) 202-0100 | Pernicano Psychological Services, Pllc 8800 Village Dr Ste 209 San Antonio TX 78217-5420 Ph: (210) 202-0100 |
| NPI Number | 1386278935 |
|---|---|
| Provider Enumeration Date | 02/22/2020 |
| Last Update Date | 02/22/2020 |
| Certification Date | 02/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386278935 | NPI | - | NPPES |
| 200878100 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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