Royal Psychological Service PC
Psychologist, Clinical in Fort Worth, TX. Organization (NPI-2).
NPI number1013556992
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1013556992
- Entity type
- Organization (NPI-2)
- Legal business name
- Royal Psychological Service PC
- Organization subpart
- No
- Enumeration date
- Dec 25, 2019
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
900 W Leuda StFort Worth, TX 76104-3002
Phone 845-738-8770
Mailing address
1385 E 22nd StBrooklyn, NY 11210-5110
Phone 929-469-5556
Other practice locations
200 Ryan St
Boerne, TX 78006-2046
Boerne, TX 78006-2046
Phone 929-469-5556
401 E Blue Bell Rd
Brenham, TX 77833-2407
Brenham, TX 77833-2407
Phone 845-738-8770
Authorized official
Elie Cohen
MD
5164574864
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