Provider Information for 1043893092
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THANH T NGO PsyD
Sex: Female
NPI: 1043893092
Last Updated: 2021-07-10
Certification Date: 2021-07-10
Certification Date: 2021-07-10
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043893092 | ||||||||
| Enumeration Date | 2021-04-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 21031 MARKET RDG SAN ANTONIO, TX 78258-2483 United States Phone: 312-785-5295 | Fax: | ||||||||
| Primary Practice Address | 21031 MARKET RDG SAN ANTONIO, TX 78258-2483 United States Phone: 210-233-6148 | Fax:210-399-8721 | ||||||||
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