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Organization

JERRY MUNGADZE PHD.

Active
Other names
Mungadze and Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY J. MUNGADZE PHD., LPC (OWNER)
(817) 354-1389
Entity
Organization

Contact information

Practice address
2040 BEDFORD RD, SUITE 200, BEDFORD, TX 76021-5871
(817) 354-1389
Mailing address
2040 BEDFORD RD, SUITE 200, BEDFORD, TX 76021-5871
(817) 354-1389

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
10315
TX

Other

Enumeration date
11/14/2006
Last updated
08/22/2020
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