| 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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