Individual
CAROL R. WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
700 NE LOOP 820 STE 200A, HURST, TX 76053
(817) 905-1277
(817) 769-2562
Mailing address
700 NE LOOP 820 STE 200A, HURST, TX 76053
(817) 905-1277
(817) 769-2562
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30759
TX
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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