| Brainstorm Learning | |
|
1208 W Magnolia Ave Suite 234 Fort Worth TX 76104-4472 | |
| (817) 501-7363 | |
| Not Available |
| Full Name | Brainstorm Learning |
|---|---|
| Speciality | Psychologist |
| Location | 1208 W Magnolia Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Jodi Lowther (CO-OWNER) |
| Authorized Official Contact | 8175017363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainstorm Learning 1208 W Magnolia Ave Suite 234 Fort Worth TX 76104-4472 Ph: () - | Brainstorm Learning 1208 W Magnolia Ave Suite 234 Fort Worth TX 76104-4472 Ph: (817) 501-7363 |
| NPI Number | 1881071116 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881071116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 15507 (Texas) | Primary |
| 103T00000X | Psychologist | 36708 (Texas) | Secondary |
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