Edwin D Robertson in Tyler - Clinical Neuropsychologist
Edwin D Robertson - NPI 1649200700
Edwin D Robertson is a Clinical Neuropsychologist in Tyler, Texas. Edwin D Robertson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Edwin D Robertson is 1649200700. The last update date is 2019-12-31.
Edwin D Robertson's current location address is 701 Olympic Plaza Cir, Tyler, Texas. You can contact this provider via phone number 9035963000 and fax number 9035963006. The mailing address for Edwin D Robertson is 701 Olympic Plaza Cir, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edwin D Robertson |
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Address | 701 Olympic Plaza Cir, Tyler, Texas |
Phone Number | 9035963000 |
Fax Number | 9035963006 |
Sole Proprietor | N |
Credentials | PHD |
NPI Number Detail
NPI Number | 1649200700 |
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Provider Enumeration Date | 2006-07-04 |
Last Updated Date | 2019-12-31 |
Provider Mailing Address Detail
Address | 701 Olympic Plaza Cir |
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City | Tyler |
State | Texas (TX) |
Post Code | 7570119500 |
Phone Number | 9035963000 |
Fax Number | 9035963006 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Licence No | 24420 |
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 |
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What is the unique identification code assigned to Edwin D Robertson by the Centers for Medicare & Medicaid Services?
The Edwin D Robertson has been issued the NPI (National Provider Identifier) 1649200700. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Edwin D Robertson?
The Edwin D Robertson is physically situated at 701 Olympic Plaza Cir, in the city of Tyler, state of TX, with the postal code 7570119500.
What is the Edwin D Robertson's area of specialization and corresponding taxonomy classification?
The Edwin D Robertson's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649200700 to Edwin D Robertson?
The Centers for Medicare & Medicaid Services originally issued the 1649200700 to Edwin D Robertson on 2006-07-04.
As of what date was the information regarding Edwin D Robertson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edwin D Robertson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-12-31.
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