Charles A Haskovec, PHD Valid NPI
Individual provider · Clinical Psychologist · Fort Worth, TX
- NPI
- 1134126279
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 21069 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2005-07-05
- Last updated
- 2010-02-16
Practice location
3704 Mattison Ave
Fort Worth, TX 76107-2619
(817) 732-8441