East Texas Psychological Services, Pllc

NPI 1093029951 - Psychologist - 103TC0700X

NPI Details
NPI 1093029951
Enumeration Date 08/03/2010
Last Updated 08/03/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WILLIAM A WILLIAM
Position OWNER
Phone (903) 675-9570
Fax (903) 675-9577
Practice Location
700 S PALESTINE ST
ATHENS TX, 75751-3325, US
Phone (903) 675-9570
Fax (903) 675-9577
Business Location
700 S PALESTINE ST
ATHENS TX, 75751-3325, US
Phone (903) 675-9570
Fax (903) 675-9577
Toxanomy
Taxonomy Code 103TC0700X
License State Texas
License Number 26853
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According to our database, East Texas Psychological Services, Pllc NPI is 1093029951, taxonomy code is 103TC0700X and license number is 26853, license state is located at Texas. East Texas Psychological Services, Pllc physically located at 700 S Palestine St, Athens TX, 75751-3325. NPI Number 1033115704 has the healthcare provider type.

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1093029951 NPI number is provided on an as is basis without warranty of any kind. 1093029951 is maintained by the National Plan & Provider Enumeration System. The contents of East Texas Psychological Services, Pllc are for informational purposes only.