Woody Cal Childress in Fort Worth - School
Woody Cal Childress - NPI 1013064534
Woody Cal Childress is a School in Fort Worth, Texas. Woody Cal Childress practices all healthcare services and medical treatments related to School. The NPI Number for Woody Cal Childress is 1013064534. The last update date is 2007-07-08.
Woody Cal Childress's current location address is 1400 Aden Rd, Fort Worth, Texas. You can contact this provider via phone number 8177312468. The mailing address for Woody Cal Childress is 1400 Aden Rd, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Woody Cal Childress |
|---|---|
| Address | 1400 Aden Rd, Fort Worth, Texas |
| Phone Number | 8177312468 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1013064534 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1400 Aden Rd |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761161959 |
| Phone Number | 8177312468 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 6637 |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P000D92R2 | TX | -- |
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What is the unique 10-digit identification code issued to Woody Cal Childress by the Centers for Medicare & Medicaid Services?
The Woody Cal Childress has been assigned the NPI (National Provider Identifier) 1013064534 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Woody Cal Childress's facilities are situated?
The facilities of Woody Cal Childress are physically located at the following address: 1400 Aden Rd, Fort Worth, TX, 761161959.
What is Woody Cal Childress's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Woody Cal Childress is School, and the taxonomy classification code that categorizes this area of expertise is 103Ts0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013064534 to Woody Cal Childress?
The Woody Cal Childress received its 1013064534 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
When was the information regarding Woody Cal Childress most recently updated?
The details pertaining to the Woody Cal Childress, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.