Individual
DR. RENJAN ROY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
600 E JOHN CARPENTER FWY, STE 291, IRVING, TX 75062
(469) 444-3226
Mailing address
1636 SANTA ANITA BLVD, IRVING, TX 75060-4887
(469) 585-5393
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
36436
TX
103TC0700X
Clinical Psychologist
Primary
36436
TX
Other
Enumeration date
05/07/2014
Last updated
05/23/2019
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