Clear Fork Psychology Services, Pllc
NPI #1275021560 in Willow Park, Texas
Provider Information
- NPI Number
- 1275021560
- Entity Type
- Organization
- Organization Name
- Clear Fork Psychology Services, Pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 23, 2018
- Last Updated
- Apr 23, 2018
Practice Location
- Address
- 4971 E INTERSTATE 20 SERVICE RD N
- City
- Willow Park
- State
- Texas
- ZIP Code
- 76087-3220
- Phone
- (817) 694-8916
Authorized Official
- Name
- DR. RUSSELL WOOD, PH.D
- Title
- OWNER
- Phone
- (817) 694-8916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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