Summit Psychological Services, Pllc | |
1810 Shiloh Rd Suite 801 Tyler TX 75703-2419 | |
(903) 954-0605 | |
(903) 534-6518 |
Full Name | Summit Psychological Services, Pllc |
---|---|
Speciality | Psychologist |
Location | 1810 Shiloh Rd, Tyler, Texas |
Authorized Official Name and Position | Charlotte Lea Rhyne (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 9039540605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Summit Psychological Services, Pllc 1488 County Road 3807 Bullard TX 75757-6808 Ph: (903) 954-0605 | Summit Psychological Services, Pllc 1810 Shiloh Rd Suite 801 Tyler TX 75703-2419 Ph: (903) 954-0605 |
NPI Number | 1114236288 |
---|---|
Provider Enumeration Date | 10/06/2010 |
Last Update Date | 06/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114236288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 34473 (Texas) | Primary |
103TC0700X | Psychologist - Clinical | 34473 (Texas) | Secondary |
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