Provider Demographics
NPI:1467990184
Name:KYPUROS, CLAUDIA R (PHD LCSW)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:R
Last Name:KYPUROS
Suffix:
Gender:F
Credentials:PHD LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 MEDICAL DR
Mailing Address - Street 2:330
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5656
Mailing Address - Country:US
Mailing Address - Phone:210-614-4990
Mailing Address - Fax:210-614-4991
Practice Address - Street 1:4201 MEDICAL DR
Practice Address - Street 2:330
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5656
Practice Address - Country:US
Practice Address - Phone:210-614-4990
Practice Address - Fax:210-614-4991
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX394471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical