| Robert Sperry & Associates | |
|
3334 Ssw Loop 323 Tyler TX 75701-9237 | |
| (903) 534-5968 | |
| Not Available |
| Full Name | Robert Sperry & Associates |
|---|---|
| Speciality | Psychologist |
| Location | 3334 Ssw Loop 323, Tyler, Texas |
| Authorized Official Name and Position | Robert Sperry (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9035345968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Sperry & Associates Po Box 2186 Flint TX 75762-2186 Ph: (903) 534-5968 | Robert Sperry & Associates 3334 Ssw Loop 323 Tyler TX 75701-9237 Ph: (903) 534-5968 |
| NPI Number | 1558411744 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/25/2021 |
| Medicare PECOS PAC ID | 8820042203 |
|---|---|
| Medicare Enrollment ID | O20050309000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558411744 | NPI | - | NPPES |
| 150170201 | Medicaid | TX |
| Provider Name | Robert Sperry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497805659 PECOS PAC ID: 5991759375 Enrollment ID: I20050309000109 |
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