Individual
DR. ELIZABETH O ORIOLA-OTENAIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6620 TRINITY HEIGHTS BLVD, FORT WORTH, TX 76132-3578
(817) 346-9560
(817) 423-7526
Mailing address
6116 OAKBEND TRL, FORT WORTH, TX 76132-3925
(817) 422-3181
(817) 423-7526
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36054
TX
103TB0200X
Cognitive & Behavioral Psychologist
36054
TX
103TC2200X
Clinical Child & Adolescent Psychologist
36054
TX
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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