Organization
CLEAR FORK PSYCHOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL WOOD PH.D (OWNER)
(817) 694-8916
Entity
Organization
Contact information
Practice address
4971 E INTERSTATE 20 SERVICE RD N, WILLOW PARK, TX 76087-3220
(817) 694-8916
(682) 224-5724
Mailing address
4971 E INTERSTATE 20 SERVICE RD N, WILLOW PARK, TX 76087-3220
(817) 694-8916
(682) 224-5724
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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