Organization
DIVERGENT NEUROPSYCHOLOGICAL ASSESS
Active
Other names
Divergent Neuropsychology, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MAE RICE PSY.D (PRACTICE OWNER/NEUROPSYCHOLOGIST)
(469) 487-7911
Entity
Organization
Contact information
Practice address
713 E 1ST ST, PROSPER, TX 75078-2982
(469) 487-7911
Mailing address
713 E 1ST ST, PROSPER, TX 75078-2982
(469) 487-7911
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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