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Organization

DIVERGENT NEUROPSYCHOLOGICAL ASSESS

Active
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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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