MEDICARE: SEAN MICHAEL TURNER MS

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	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1184412447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN MICHAEL TURNER MS

Provider Business Mailing Address
First Line	:	4400 HORIZON HILL BLVD APT 1705
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-2239
Country	:	US
Telephone Number	:	407-761-3107
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 HORIZON HILL BLVD APT 1705
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-2239
Country	:	US
Telephone Number	:	407-761-3107
Fax Number	:

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

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	04/28/2025

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