| Integrative Clinical Psychology, Pllc | |
|
1101 Waters Edge Dr Ste 108 Granbury TX 76048-1474 | |
| (817) 559-1754 | |
| Not Available |
| Full Name | Integrative Clinical Psychology, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1101 Waters Edge Dr Ste 108, Granbury, Texas |
| Authorized Official Name and Position | Jeff A Moody (OWNER) |
| Authorized Official Contact | 4056203508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Clinical Psychology, Pllc 5640 Mesa Loop Granbury TX 76048-6554 Ph: (405) 620-3508 | Integrative Clinical Psychology, Pllc 1101 Waters Edge Dr Ste 108 Granbury TX 76048-1474 Ph: (817) 559-1754 |
| NPI Number | 1093543654 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093543654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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