Provider Demographics
NPI:1568789113
Name:RODRIGUEZ-ESCOBAR, OLGA L (PHD)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:L
Last Name:RODRIGUEZ-ESCOBAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 W NOLANA AVE STE 420
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3089
Mailing Address - Country:US
Mailing Address - Phone:956-627-5828
Mailing Address - Fax:956-627-5806
Practice Address - Street 1:612 W NOLANA AVE STE 420
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3089
Practice Address - Country:US
Practice Address - Phone:956-627-5828
Practice Address - Fax:956-627-5806
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-22
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34517103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist