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Contact Information

STACIA M DANIEL, PhD
21714 HARDY OAK BLVD
UNIT #104
SAN ANTONIO, TX78258-4838
 Phone: 210-490-9062
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STACIA M DANIEL · (Female)

NPI Number 1104849751
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/25/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 30792
  • TX Medicaid 1794141
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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