Executive Producers
Executive Producers is a Clinical Psychologist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2011.
- Licensed in
- TX
- In the registry since
- 2011
Practice location Address checks out
4150 International Plz Ste 600Fort Worth, TX 76109-4892
Phone: (972) 800-5878
Fax: (972) 386-8597
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Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 34392 (TX) |
|---|
Record details
| NPI number | 1205132065 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Esther Lockart — Ceo · (972) 800-5878 |
| Other names | Prima West |
| NPI enumerated | January 26, 2011 |
| Last updated in NPPES | January 26, 2011 |
| Mailing address | 8413 Palo Duro Ct, Fort Worth, TX 76116-6842 |
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