Organization
PSYCHOLOGY CARE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA RIEDO LCP (OWNER)
(817) 437-4505
Entity
Organization
Contact information
Practice address
209 TRAVIS ST, SUITE 102, ROANOKE, TX 76262-8603
(817) 437-4505
Mailing address
209 TRAVIS ST, SUITE 102, ROANOKE, TX 76262-8603
(817) 437-4505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36929
TX
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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