Manuel Harty Edquist, Ph.D.
Psychologist, Clinical in China Spring, TX. Individual provider (NPI-1).
NPI number1528032083
StatusActive
Last updated in NPPESMay 16, 2011
Details
- NPI
- 1528032083
- Entity type
- Individual (NPI-1)
- Name
- Manuel Harty Edquist
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2006
- Last updated
- May 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 21060 | TX | Yes |
Practice location
517 Lake DrChina Spring, TX 76633-2631
Phone 254-315-5761
Mailing address
517 Lake DrChina Spring, TX 76633-2631
Phone 254-315-5761
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