Individual
DR. REDA G RASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
2934 KEMP BLVD, WICHITA FALLS, TX 76308-1017
(940) 691-1899
(940) 691-3423
Mailing address
4722 TAFT BLVD STE 2, WICHITA FALLS, TX 76308-4800
(940) 691-1899
(940) 691-3423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
19361
TX
103TC0700X
Clinical Psychologist
Primary
34999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171788601
—
TX
01
—
84576L
BLUE CROSS ID NUMBER
TX
Enumeration date
02/21/2007
Last updated
12/13/2024
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