Judith E. Craig, PH.D., PC

Organization Active NPI Psychologist · San Antonio, TX

NPI 1043486525 · NPPES record last updated Jul 6, 2010

Key facts

NPI
1043486525
Entity type
Organization (NPI type 2)
Primary specialty
Psychologist 103T00000X
License
20806 (TX)
Legal business name
JUDITH E. CRAIG, PH.D., PC
Practice address
147 W Sunset Rd
Suite 101
San Antonio, TX 78209-2632
Phone
(210) 824-3391
Fax
(210) 828-2873
NPI assigned
May 5, 2008
Organization subpart
No

Authorized official

Name
Dr. Judith E. Craig, PH.D.
Title
President
Phone
(210) 824-3391

National Provider Directory

Locations

13620 NW Military Hwy
Ste 2022
Shavano Park, TX 78231
Phone (210) 824-3391

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103T00000X 20806 TX Yes

Addresses

Primary practice location

147 W Sunset Rd
Suite 101
San Antonio, TX 78209-2632

Mailing address

147 W Sunset Rd
Ste. 101
San Antonio, TX 78209-2632
Phone (210) 824-3391

Other identifiers

IdentifierTypeStateIssuer
1023119823OtherTXNPI INDIVIDUAL
00913VOtherTXMEDICARE PROVIDER NUMBER

Other providers in San Antonio, TX

All providers in San Antonio, TX · Psychologist in Texas

Sources for this page

Verify at the official NPI Registry.