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EXECUTIVE PRODUCERS NPI 1205132065


NPI Information

NPI: 1205132065
Provider Name: EXECUTIVE PRODUCERS

Doing Business As: PRIMA WEST

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
4150 INTERNATIONAL PLZ
STE 600
FORT WORTH, TX
ZIP 76109
Phone: (972) 800-5878
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EXECUTIVE PRODUCERS is a clinical psychologist in Fort Worth, TX. The provider is 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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. EXECUTIVE PRODUCERS NPI is 1205132065. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prima West.

The provider's business location address is:

4150 INTERNATIONAL PLZ
STE 600
FORT WORTH, TX
ZIP 76109-892
Phone: (972) 800-5878
Fax: (972) 386-8597

The provider's authorized official is Esther Lockart .
The authorized official title is Ceo and has the following contact phone number (972) 800-5878.

The enumeration date for this NPI number is 1/26/2011 and was last updated on 1/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical34392TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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