MEDICARE: MISHAEL OZED-WILLIAMS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1790594174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISHAEL OZED-WILLIAMS PH.D.

Provider Business Mailing Address
First Line	:	7801 OAKMOUNT BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7801 OAKMOUNT BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132
Country	:	US
Telephone Number	:	682-841-1475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2024
Last Update Date	:	06/18/2026

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Directions to “ MISHAEL OZED-WILLIAMS PH.D.” Practice Location

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