| Michael F Caruso Ed D Psychologist | |
|
615 W Harwood Rd Hurst TX 76054-3106 | |
| (817) 449-0022 | |
| (817) 394-1402 |
| Full Name | Michael F Caruso Ed D Psychologist |
|---|---|
| Speciality | Psychologist |
| Location | 615 W Harwood Rd, Hurst, Texas |
| Authorized Official Name and Position | Michael Caruso (PSYCHOLOGIST / OWNER) |
| Authorized Official Contact | 8178460632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael F Caruso Ed D Psychologist 1100 Scarlet Ct Colleyville TX 76034-4107 Ph: (817) 846-0632 | Michael F Caruso Ed D Psychologist 615 W Harwood Rd Hurst TX 76054-3106 Ph: (817) 449-0022 |
| NPI Number | 1659914026 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 10/17/2019 |
| Medicare PECOS PAC ID | 8729411178 |
|---|---|
| Medicare Enrollment ID | O20191126000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659914026 | NPI | - | NPPES |
| 22364 | Other | TX | TEXAS PSYCHOLOGIST LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michael F Caruso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992926968 PECOS PAC ID: 5092748350 Enrollment ID: I20110714000765 |
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