| Royal Psychological Service Pc | |
|
900 W Leuda St Fort Worth TX 76104-3002 | |
| (845) 738-8770 | |
| Not Available |
| Full Name | Royal Psychological Service Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 900 W Leuda St, Fort Worth, Texas |
| Authorized Official Name and Position | Elie Cohen (MD) |
| Authorized Official Contact | 5164574864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Psychological Service Pc 1385 E 22nd St Brooklyn NY 11210-5110 Ph: (929) 469-5556 | Royal Psychological Service Pc 900 W Leuda St Fort Worth TX 76104-3002 Ph: (845) 738-8770 |
| NPI Number | 1013556992 |
|---|---|
| Provider Enumeration Date | 12/25/2019 |
| Last Update Date | 08/24/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013556992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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