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Contact Information

RENJAN R MATHEW, PhD
600 E JOHN CARPENTER FWY
STE 291
IRVING, TX75062
 Phone: 469-444-3226
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for RENJAN R MATHEW · (Male)

NPI # 1235549650
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/07/2014
Last updated 05/23/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 36436
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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