Individual
COREY HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 7TH AVE, STE 2100, FORT WORTH, TX 76104-2722
(682) 885-1480
(682) 885-3600
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4870
(682) 885-3936
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37054
TX
Other
Enumeration date
10/14/2015
Last updated
04/09/2021
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