MEDICARE: DIANNE RAPSEY-VANBUREN PSYD

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	39404	TX

General Provider Information

NPI Number	:	1962959866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNE RAPSEY-VANBUREN PSYD

Provider Business Mailing Address
First Line	:	5500 BROADWAY UNIT 436
Second Line	:
City	:	ALAMO HEIGHTS
State	:	TX
Zip	:	78209-2240
Country	:	US
Telephone Number	:	808-392-3137
Fax Number	:

Provider Business Practice Location Address
First Line	:	1922 DRY CREEK WAY STE 108
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-1840
Country	:	US
Telephone Number	:	972-528-8173
Fax Number	:

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

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	04/26/2025

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