PATRICIA SUTKER PHD
Clinical Neuropsychologist
Lubbock, Texas
Provider NPI: 1053397208
Provider Information:PATRICIA SUTKER PHD
Gender: F
Not Sole Proprietor
Practice Location:
3601 4TH ST SUITE 1C102 LUBBOCK, TX 79430 US
Tel: 806-743-2800 Fax: 806-743-1668
Business Mailing Address:
PO BOX 5865 LUBBOCK, TX 79408 US
Tel: 806-743-2898 Fax: 806-743-2787
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | TX | 31322 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PRESBYTERIAN COMMERCIAL | 68843 | NM | 01 |
TRIWEST | A545 | NM | 01 |
HMO BLUE | 84154Z | TX | 01 |
68843 | NM | 05 | |
77748 | NM | 05 | |
BC/BS | 87119A | TX | 01 |
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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