Unknown Individual – Clinical Psychologist, NPI 1962501031
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1510, West Fairmont Street, Longview, Gregg County, Texas, 75604, United States
SUITE D
LONGVIEW, TX 756046321
Phone: (903) 234-2990
Fax: (903) 234-1752
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75604)
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