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Organization

THE INSTITUTE OF NEUROPSYCHOLOGICAL HEALTHCARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMMANUEL ROSARIO NIEVES PH.D. (CLINICAL NEUROPSYCHOLOGIST)
(682) 259-4255
Entity
Organization

Contact information

Practice address
9500 RAY WHITE RD STE 200, FORT WORTH, TX 76244-9105
(817) 745-4567
(833) 694-0829
Mailing address
9500 RAY WHITE RD STE 200, FORT WORTH, TX 76244-9105
(787) 407-4268
(833) 694-0829

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TC0700X
Clinical Psychologist

Other

Enumeration date
08/29/2020
Last updated
07/02/2022
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