Individual
MICHAEL CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED. D.
Contact information
Practice address
615 W HARWOOD RD, HURST, TX 76054-3106
(817) 722-5040
Mailing address
1100 SCARLET CT, COLLEYVILLE, TX 76034-4107
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22364
LICENSE NUMBER
TX
Enumeration date
05/01/2007
Last updated
10/16/2019
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