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BARRY WILSON RATH PH.D.

Clinical Neuropsychologist

Tyler, Texas

Provider NPI: 1619044856

Provider Information:
 BARRY WILSON RATH PH.D.
Gender: M
Sole Proprietor


Practice Location:
826 S FLEISHEL AVE  TYLER, TX 75701 US
Tel: 903-592-6779  Fax: 903-592-7208

Business Mailing Address:
826 S FLEISHEL AVE  TYLER, TX 75701 US
Tel: 903-592-6779  Fax: 903-592-7208

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX23719

Other Provider Identifiers:

IssuerNumberStateType
WORKER'S COMPENSATIONOP23719TX01
US DEPARTMENT OF LABOR110012100TX01
0326126 01TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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