Individual
DR. MELODY ANN HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
6420 SOUTHWEST BLVD., SUITE NUMBER 111, FORT WORTH,, TX 76109
(817) 718-8611
Mailing address
6420 SOUTHWEST BLVD., SUITE 111, FORT WORTH, TX 76109-3929
(817) 718-8611
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37793
TX
Other
Enumeration date
11/08/2017
Last updated
11/20/2019
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