SearchTexas103TC0700X

Russell Wood, PH.D

NPI 1598131807 · on the registry since 2015 · sole proprietor

Practice

Address
4971 E Interstate 20 Service Rd N Ste 100
Willow Park, TX 76087
Phone
(817) 694-8916
Fax
(682) 224-5724
Organisation at this address
Clear Fork Psychology Services, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas