Individual
TINA MAE RICE
Active
Individual
TINA MAE RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
38269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38269
PSYCHOLOGIST LICENSE
TX
Enumeration date
10/31/2019
Last updated
10/31/2019
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