| Clear Fork Psychology Services, Pllc | |
|
4971 E Interstate 20 Service Rd N Willow Park TX 76087-3220 | |
| (817) 694-8916 | |
| (682) 224-5724 |
| Full Name | Clear Fork Psychology Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4971 E Interstate 20 Service Rd N, Willow Park, Texas |
| Authorized Official Name and Position | Russell Wood (OWNER) |
| Authorized Official Contact | 8176948916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Fork Psychology Services, Pllc 4971 E Interstate 20 Service Rd N Willow Park TX 76087-3220 Ph: (817) 694-8916 | Clear Fork Psychology Services, Pllc 4971 E Interstate 20 Service Rd N Willow Park TX 76087-3220 Ph: (817) 694-8916 |
| NPI Number | 1275021560 |
|---|---|
| Provider Enumeration Date | 04/23/2018 |
| Last Update Date | 04/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275021560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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