Organization
INTEGRATIVE CLINICAL PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF A MOODY PSYD (OWNER)
(817) 559-1754
Entity
Organization
Contact information
Practice address
1101 WATERS EDGE DR STE 108, GRANBURY, TX 76048-1474
(817) 559-1754
Mailing address
5640 MESA LOOP, GRANBURY, TX 76048-6554
(405) 620-3508
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
02/10/2025
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