Individual
PAUL MASSINGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6300 RIDGLEA PL STE 212, FORT WORTH, TX 76116-5707
(817) 480-4632
Mailing address
7009 CASTLE CREEK DR E, FORT WORTH, TX 76132-3705
(305) 282-1929
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205055
TX
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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