Provider Demographics
NPI:1710219183
Name:BIEVER, JOAN LESLIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:LESLIE
Last Name:BIEVER
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 1:590 N GENERAL MCMULLEN DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-6205
Mailing Address - Country:US
Mailing Address - Phone:210-434-1054
Mailing Address - Fax:210-431-3927
Practice Address - Street 1:590 N GENERAL MCMULLEN DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-6205
Practice Address - Country:US
Practice Address - Phone:210-434-1054
Practice Address - Fax:210-431-3927
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24170103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling