Woody Cal Childress PH.D.

NPI 1013064534 - Psychologist - 103T00000X

NPI Details
NPI 1013064534
Gender Male
Enumeration Date 01/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
FORT WORTH TX, 76133-2254, US
Phone (817) 731-2468
Business Location
1400 ADEN RD
FORT WORTH TX, 76116-1959, US
Phone (817) 731-2468
Taxonomy Code 103T00000X
License State Texas
License Number 2-3301
Remove 1013064534 NPI Number

According to our database, Dr. Woody Cal Childress PH.D. NPI is 1013064534, taxonomy code is 103T00000X and license number is 2-3301, license state is located at Texas. Woody Cal Childress PH.D. physically located at 5658 Westcreek Dr Ste 400, Fort Worth TX, 76133-2254. NPI Number Woody Cal Childress PH.D. has the Individual type.

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1013064534 NPI number is provided on an as is basis without warranty of any kind. 1013064534 is maintained by the National Plan & Provider Enumeration System. The contents of Woody Cal Childress PH.D. are for informational purposes only.