Stephanie Triana, Ph.d. Llc | |
1848 Lockhill Selma Rd Ste 102 San Antonio TX 78213-1566 | |
(210) 346-0775 | |
(210) 775-0088 |
Full Name | Stephanie Triana, Ph.d. Llc |
---|---|
Speciality | Psychologist |
Location | 1848 Lockhill Selma Rd Ste 102, San Antonio, Texas |
Authorized Official Name and Position | Stephanie Triana (OWNER) |
Authorized Official Contact | 2103460775 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stephanie Triana, Ph.d. Llc 21015 La Pena Dr San Antonio TX 78258-2935 Ph: (210) 346-0775 | Stephanie Triana, Ph.d. Llc 1848 Lockhill Selma Rd Ste 102 San Antonio TX 78213-1566 Ph: (210) 346-0775 |
NPI Number | 1851813323 |
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Provider Enumeration Date | 07/16/2017 |
Last Update Date | 09/27/2017 |
Medicare PECOS PAC ID | 9032475504 |
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Medicare Enrollment ID | O20171116000755 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851813323 | NPI | - | NPPES |
00P81Q | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 36505 (Texas) | Primary |
Provider Name | Stephanie Triana |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710170162 PECOS PAC ID: 6800026899 Enrollment ID: I20140314000250 |
Provider Name | Stephanie Triana |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710170162 PECOS PAC ID: 6800026899 Enrollment ID: I20171116001498 |
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