Individual
DR. ROZEMARIJN STAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1500 CORPORATE CIR STE 7, SOUTHLAKE, TX 76092-5954
(513) 316-3004
Mailing address
2736 STADIUM VIEW DR, FORT WORTH, TX 76118-2031
(513) 316-3004
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
05/05/2022
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