Organization
THE CENTER FOR EDUCATIONAL DIAGNOSTICS & ASSESSMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA EIDSON (AUTHORIZED OFFICIAL)
(979) 218-1068
Entity
Organization
Contact information
Practice address
262 CARROLL ST STE 150, FORT WORTH, TX 76107-1907
(979) 218-1068
Mailing address
4628 LAFAYETTE AVE, FORT WORTH, TX 76107-3722
(979) 218-1068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/21/2024
Last updated
10/15/2025
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