Robert Jerald Shore in Tyler - Psychologist
Robert Jerald Shore - NPI 1932326840
Robert Jerald Shore is a Psychologist in Tyler, Texas. Robert Jerald Shore practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Robert Jerald Shore is 1932326840. The last update date is 2008-05-15.
Robert Jerald Shore's current location address is 804 Spring Creek Dr, Tyler, Texas. You can contact this provider via phone number 9039398760 and fax number 9039398760. The mailing address for Robert Jerald Shore is 804 Spring Creek Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Jerald Shore |
|---|---|
| Address | 804 Spring Creek Dr, Tyler, Texas |
| Phone Number | 9039398760 |
| Fax Number | 9039398760 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1932326840 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 804 Spring Creek Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757033537 |
| Phone Number | 9039398760 |
| Fax Number | 9039398760 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 24292 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11601-160-01 | TX | -- |
Post Comment/ Review Below
What is the Robert Jerald Shore's 1932326840?
The Robert Jerald Shore's NPI (National Provider Identifier) Number is 1932326840. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Robert Jerald Shore is physically located?
The Robert Jerald Shore is situated at the following address: 804 Spring Creek Dr, Tyler, TX 757033537.
What is Robert Jerald Shore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Jerald Shore's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When did Robert Jerald Shore receive its 1932326840 assignment?
The Robert Jerald Shore was assigned its 1932326840 on 2007-04-20, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Robert Jerald Shore most recently updated or revised?
The information pertaining to Robert Jerald Shore, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-15.
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