Organization · Type 2 NPI

The Center for Educational Diagnostics & Assessment

Clinical Psychologist · Fort Worth, TX

NPI number 1093530230 Active

Practice location

262 Carroll St Ste 150
Fort Worth, TX 76107-1907

Mailing address

4628 Lafayette Ave
Fort Worth, TX 76107-3722

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1093530230

The Center for Educational Diagnostics & Assessment's National Provider Identifier is 1093530230, issued on Nov 21, 2024. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 15, 2025.