Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 34802 | TX |
Y | 103TC0700X | Clinical Psychologist | 34802 | TX |
NPI | 1003071408 |
---|---|
Provider Name | Joshua D Essery |
First Address | San Antonio, TX 78229-3367 |
Second Address | San Antonio, TX 78229-3367 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2008 |
Last Update Date | 03/01/2020 |