Individual
DR. RUSSELL S WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4971 E INTERSTATE 20 SERVICE RD N STE 100, WILLOW PARK, TX 76087-3206
(817) 694-8916
(682) 224-5724
Mailing address
4971 E INTERSTATE 20 SERVICE RD N STE 100, WILLOW PARK, TX 76087-3206
(817) 694-8916
(682) 224-5724
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32761
TX
Other
Enumeration date
08/20/2015
Last updated
01/16/2022
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