Individual
DR. ELENA RIEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
209 TRAVIS ST, ROANOKE, TX 76262-8661
(817) 437-4505
(800) 883-7014
Mailing address
2217 MARTIN DR, SUITE 200, BEDFORD, TX 76021-6247
(817) 437-4505
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
36929
TX
103TB0200X
Cognitive & Behavioral Psychologist
36929
TX
103TC0700X
Clinical Psychologist
Primary
36929
TX
Other
Enumeration date
05/02/2015
Last updated
01/29/2016
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