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Dr. Marietta Baccus Richard, PHD
Clinical Psychologist in Southlake, Texas
NPI 1699950782

Marietta Baccus Richard is a Clinical Psychologist based in Southlake, TX and is specialized in Clinical. Marietta Baccus Richard practices in Southlake, TX and has the professional credentials of PHD. The NPI Number for Marietta Baccus Richard is 1699950782 and holds a License No. 24396 (Texas).

The current practice location address for Marietta Baccus Richard is 1725 E Southlake Blvd Ste 102, Southlake, TX and can be reached out via phone at 682-477-4400.

Location: 1725 E Southlake Blvd Ste 102, Southlake, TX, 76092-6457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699950782
Provider Name
Marietta Baccus Richard
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1725 E Southlake Blvd Ste 102, Southlake, TX, 76092-6457
Phone Number
682-477-4400
Fax Number
Provider Enumeration Date
01/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8K4637 01 TX DOCS MCR
8K4700 01 TX DOMHA MCR
institution
Provider Business Practice Location Address Details
Address
1725 E Southlake Blvd Ste 102
City
Southlake
State
Texas
Zip
76092-6457
Phone Number
682-477-4400
Fax Number
person
Provider Business Mailing Address Details
Address
1725 E Southlake Blvd Ste 102
City
Southlake
State
Texas
Zip
76092-6457
Phone Number
682-477-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
24396 (Texas)
Definition
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.
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