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Individual

DR. WOODY CAL CHILDRESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5658 WESTCREEK DR STE 400, FORT WORTH, TX 76133-2254
(817) 731-2468
Mailing address
1400 ADEN RD, FORT WORTH, TX 76116-1959
(817) 731-2468

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2-3301
TX
103TS0200X
School Psychologist
Primary
6637
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P000D92R2
TX
Enumeration date
01/05/2007
Last updated
09/11/2025
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