Individual
WILLIAM MENCHACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
100 E 15TH ST, FORT WORTH, TX 76102-6550
(817) 332-2211
Mailing address
5404 ODOM AVE, FORT WORTH, TX 76114-4539
(682) 429-8343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33495
TX
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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