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

Individual provider Clinical Psychologist · NPI 1639625171

Dr. Mary Madison Eagle, PHD is a Clinical Psychologist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4837 Bryce Ave
Fort Worth, TX 76107-4144
Phone: (817) 980-7474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 16-18P (AR)

Record details

NPI number1639625171
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 25, 2016
Last updated in NPPESAugust 25, 2016

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