Psylrw, INC

NPI #1205161650 in Waco, Texas

Provider Information

NPI Number: 1205161650
Entity Type: Organization
Organization Name: Psylrw, INC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 2, 2009
Last Updated: Oct 2, 2009

Practice Location

Address: 6001 W WACO DR STE M
City: Waco
State: Texas
ZIP Code: 76710-6309
Phone: (254) 772-8055

Authorized Official

Name: LAURA RUTH WRIGHT, ED.D.
Title: PSYCHOLOGIST
Phone: (254) 772-8055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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