Barry Wilson Rath in Tyler - Clinical Neuropsychologist

Barry Wilson Rath - NPI 1619044856

Barry Wilson Rath is a Clinical Neuropsychologist in Tyler, Texas. Barry Wilson Rath practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Barry Wilson Rath is 1619044856. The last update date is 2011-11-04.

Barry Wilson Rath's current location address is 826 S Fleishel Ave, Tyler, Texas. You can contact this provider via phone number 9035926779 and fax number 9035927208. The mailing address for Barry Wilson Rath is 826 S Fleishel Ave, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Barry Wilson Rath
Address 826 S Fleishel Ave, Tyler, Texas
Phone Number 9035926779
Fax Number 9035927208
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1619044856
Provider Enumeration Date 2006-11-30
Last Updated Date 2011-11-04

Provider Mailing Address Detail

Address 826 S Fleishel Ave
City Tyler
State Texas (TX)
Post Code 757012016
Phone Number 9035926779
Fax Number 9035927208

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 23719
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OP23719 TX WORKER'S COMPENSATION
0326126 01 TX --
110012100 TX US DEPARTMENT OF LABOR

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FAQs about Barry Wilson Rath

What is the unique identification code assigned to Barry Wilson Rath by the Centers for Medicare & Medicaid Services?

The Barry Wilson Rath has been issued the NPI (National Provider Identifier) 1619044856. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Barry Wilson Rath's facilities are situated?

The facilities of Barry Wilson Rath are physically located at the following address: 826 S Fleishel Ave, Tyler, TX, 757012016.

What is Barry Wilson Rath's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Barry Wilson Rath is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date was the 1619044856 assigned to Barry Wilson Rath?

The Barry Wilson Rath was issued its 1619044856 on 2006-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Barry Wilson Rath, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Barry Wilson Rath, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-04.

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