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JANYNA MARIE MERCADO PHD

Clinical Neuropsychologist

San Antonio, Texas

Provider NPI: 1679556930

Provider Information:
 JANYNA MARIE MERCADO PHD
Gender: F
Sole Proprietor


Practice Location:
4201 MEDICAL DR SUITE 245 SAN ANTONIO, TX 78229 US
Tel: 210-860-9755  Fax: 210-692-7707

Business Mailing Address:
19430 CAMINO RDG  SAN ANTONIO, TX 78258 US
Tel: 210-860-9755  Fax: 210-692-7707

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX32917

Other Provider Identifiers:

IssuerNumberStateType
201044901TX05
PSYCHOLOGIST LICENSE32917TX01
PSYCHOLOGY LICENSE1364AL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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