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DR. ROBERT SPERRY PH.D.

Clinical Neuropsychologist

Tyler, Texas

Provider NPI: 1497805659

Provider Information:
DR. ROBERT  SPERRY PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
605 CHASE DR SUITE 2 TYLER, TX 75701 US
Tel: 903-534-5968  Fax: 903-534-1261

Business Mailing Address:
605 CHASE DR SUITE 2 TYLER, TX 75701 US
Tel: 903-534-5968  Fax: 903-534-1261

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX23178
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
TX23178
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
TX23178
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
TX23178
N103TM1800XBehavioral Health & Social Service Providers
Psychologist
TX23178
N103TS0200XBehavioral Health & Social Service Providers
Psychologist
TX6166

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD0082EFTX01
156900601TX05
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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