Individual
DR. MICHAEL C MESSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., BCBA-D
Contact information
Practice address
1617 HEMPHILL ST, FORT WORTH, TX 76104-4709
(817) 702-3100
(817) 702-4847
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-2450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36673
TX
Other
Enumeration date
04/03/2007
Last updated
10/10/2018
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