Provider Demographics
NPI:1104650233
Name:WEBB, DENAE (PSYD)
Entity type:Individual
Prefix:DR
First Name:DENAE
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:DENAE
Other - Middle Name:
Other - Last Name:CLINTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:4446 TOURMALINE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4916
Mailing Address - Country:US
Mailing Address - Phone:860-938-0688
Mailing Address - Fax:
Practice Address - Street 1:9939 STATE HIGHWAY 151
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1900
Practice Address - Country:US
Practice Address - Phone:860-938-0688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist