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Individual

MS. CONSTANCE YVETTE CELAYA-FORBES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1245 SOUTHRIDGE CRT, #100 TEB PSYCHOLOGICAL ASSOCIATES PG, HURST, TX 76053
(817) 282-3323
(817) 282-6128
Mailing address
9820 LAKE HAVEN CIRCLE, FT WORTH, TX 76108
(817) 246-1249

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23673
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4121566
AETNA PPO
TX
01
B1379P
BCBS
TX
Enumeration date
09/20/2006
Last updated
07/08/2007
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