Individual
MARY CECILIA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6420 SOUTHWEST BLVD, SUITE 112, FORT WORTH, TX 76109
(817) 877-0033
(817) 877-0032
Mailing address
3261 ODESSA AVE, FORT WORTH, TX 76109-2219
(817) 877-0033
(817) 877-0032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24311
TX
Other
Enumeration date
03/19/2008
Last updated
11/06/2009
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