Psy Family Services | |
159 N Riverside Dr Fort Worth TX 76111-3911 | |
(817) 338-4471 | |
(817) 338-1811 |
Full Name | Psy Family Services |
---|---|
Speciality | Counselor - Professional |
Location | 159 N Riverside Dr, Fort Worth, Texas |
Authorized Official Name and Position | Ezio Leite (OWNER) |
Authorized Official Contact | 8173384471 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psy Family Services 159 N Riverside Dr Fort Worth TX 76111-3911 Ph: (817) 338-4471 | Psy Family Services 159 N Riverside Dr Fort Worth TX 76111-3911 Ph: (817) 338-4471 |
NPI Number | 1730408055 |
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Provider Enumeration Date | 05/26/2010 |
Last Update Date | 06/07/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730408055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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