Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Clinical Psychology, PLLC

Organization Clinical Psychologist · NPI 1093543654

Integrative Clinical Psychology, PLLC is a Clinical Psychologist in Granbury, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Waters Edge Dr Ste 108
Granbury, TX 76048-1474
Phone: (817) 559-1754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1093543654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Moody — Owner · (817) 559-1754
NPI enumeratedJuly 24, 2024
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing address5640 Mesa Loop, Granbury, TX 76048-6554

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