Organization
ALPHAPSYCH, PLLC
Active
Organization
ALPHAPSYCH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER R BURGESS PSYD (MANAGING PSYCHOLOGIST)
(817) 559-4045
Entity
Organization
Contact information
Practice address
6612 N RIVERSIDE DR, SUITE 130, FORT WORTH, TX 76137-6663
(817) 232-8877
Mailing address
6612 N RIVERSIDE DR, SUITE 130, FORT WORTH, TX 76137-6663
(817) 232-8877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32262
TX
Other
Enumeration date
04/29/2013
Last updated
07/02/2013
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