Robert Wayne Mckenzie in Tyler - Clinical
Robert Wayne Mckenzie - NPI 1700905957
Robert Wayne Mckenzie is a Clinical in Tyler, Texas. Robert Wayne Mckenzie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert Wayne Mckenzie is 1700905957. The last update date is 2008-06-02.
Robert Wayne Mckenzie's current location address is 933 W Connally St, Tyler, Texas. You can contact this provider via phone number 9037521004 and fax number 9036833212. The mailing address for Robert Wayne Mckenzie is 933 W Connally St, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Wayne Mckenzie |
|---|---|
| Address | 933 W Connally St, Tyler, Texas |
| Phone Number | 9037521004 |
| Fax Number | 9036833212 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1700905957 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 933 W Connally St |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757011404 |
| Phone Number | 9037521004 |
| Fax Number | 9036833212 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 25161 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100340204 | TX | -- | |
| P00254134 | TX | RAIL ROAD MEDICARE |
Post Comment/ Review Below
What is the Robert Wayne Mckenzie's 1700905957?
The Robert Wayne Mckenzie's NPI (National Provider Identifier) Number is 1700905957. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Robert Wayne Mckenzie located?
The Robert Wayne Mckenzie is located at 933 W Connally St, Tyler, TX 757011404.
What is the Robert Wayne Mckenzie's specialty and taxonomy code?
The Robert Wayne Mckenzie's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Robert Wayne Mckenzie receive its 1700905957 assignment?
The Robert Wayne Mckenzie was assigned its 1700905957 on 2007-03-28, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Robert Wayne Mckenzie, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Wayne Mckenzie, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-02.
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