MEDICARE: DR. MICHELE ANNETTE MICK PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	31434	TX

General Provider Information

NPI Number	:	1326144270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELE ANNETTE MICK PH.D.

Provider Business Mailing Address
First Line	:	538 DONALDSON AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-4846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8231 FREDERICKSBURG RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3356
Country	:	US
Telephone Number	:	210-504-4514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	05/08/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1558353573 — MRS. SHELLEY L. LILLIKER MA
Practice Location Address:

8245 FREDERICKSBURG RD
SAN ANTONIO, TX
78229-3356

Practice Phone: 210-616-0022
Practice Fax: 210-616-0258

1891787842 — DR. THOMAS M. GRANT PHD, LCSW,LPC
Practice Location Address:

8245 FREDERICKSBURG RD
SAN ANTONIO, TX
78229-3356

Practice Phone: 210-616-0022
Practice Fax: 210-616-0258

1225024110 — PROF. EDWARD ALDERETTE LMSW
Practice Location Address:

8245 FREDERICKSBURG RD
SAN ANTONIO, TX
78229-3356

Practice Phone: 210-616-0022
Practice Fax: 210-616-0258

1710097548 — DR. TRACY BETH SLOAN PH.D.
Practice Location Address:

8231 FREDERICKSBURG RD
SAN ANTONIO, TX
78229-3356

Practice Phone: 210-216-5818
Practice Fax: 210-949-0019

1639268931 — DR. DEAN HARMISON DDS
Practice Location Address:

8237 FREDERICKSBURG RD
SAN ANTONIO, TX
78229-3356

Practice Phone: 210-696-3231
Practice Fax: 210-568-2760

Directions to “ DR. MICHELE ANNETTE MICK PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.