Individual
CANDICE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
604 STRADA CIR, MANSFIELD, TX 76063-3201
(817) 453-2400
(817) 453-2414
Mailing address
604 STRADA CIR, MANSFIELD, TX 76063-3201
(817) 453-2400
(817) 453-2414
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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