Organization
MICHAEL F CARUSO ED D PSYCHOLOGIST
Active
Other names
Michael F Caruso ED D Psychologist PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CARUSO ED D (PSYCHOLOGIST / OWNER)
(817) 846-0632
Entity
Organization
Contact information
Practice address
615 W HARWOOD RD, HURST, TX 76054-3106
(817) 449-0022
(817) 394-1402
Mailing address
1100 SCARLET CT, COLLEYVILLE, TX 76034-4107
(817) 846-0632
(817) 394-1409
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22364
TEXAS PSYCHOLOGIST LICENSE NUMBER
TX
Enumeration date
10/17/2019
Last updated
10/17/2019
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