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NPI Code Detail

MEDICARE: DR. CARLEY IRENE TURNER PSY.D.

MEDICARE: DR. CARLEY IRENE TURNER PSY.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
1103T00000XPsychologist
2103TC2200XClinical Child & Adolescent Psychologist37922TX

General Provider Information

NPI Number : 1386993251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLEY IRENE TURNER PSY.D.
Provider Business Mailing Address
First Line : 4201 MEDICAL DR STE 330
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-5805
Country : US
Telephone Number : 210-580-4674
Fax Number : 210-614-4990
Provider Business Practice Location Address
First Line : 4201 MEDICAL DR STE 330
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-5805
Country : US
Telephone Number : 210-580-4674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2012
Last Update Date : 06/20/2019

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