O'Rourke, Justin

O'Rourke, Justin is an individual health care provider with primary practice located at 9643 Huebner Rd Ste 103 , San Antonio TX 78240-1752. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. O'Rourke, Justin can be contacted via phone (800) 291-1644.

Contact Information

Primary practice address
9643 Huebner Rd Ste 103 San Antonio TX 78240-1752
Phone: (800) 291-1644
Fax: (210) 855-3988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 36901 Texas
Behavioral Health & Social Service Providers / Forensic 103TF0200X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 36901 Texas

Profile Details

NPI number 1023354321
LBN Legal business name O'Rourke, Justin
Credentials PH.D., ABPP, ABCN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2012
Last updated Apr 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023354321 NPPES
Texas Other 36901 TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS
Texas Other 8135 TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS

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