Organization
METRO CHILD AND FAMILY PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA DWYER MASIN (OWNER)
(516) 350-0164
Entity
Organization
Contact information
Practice address
1101 RIDGE RD STE 208, ROCKWALL, TX 75087-4250
(516) 350-0164
Mailing address
1101 RIDGE RD STE 208, ROCKWALL, TX 75087-4250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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