| Trinity Clinic Psychiatry | |
|
3300 S. Broadway, Suite 102 Tyler TN 75701 | |
| (903) 593-1786 | |
| Not Available |
| Full Name | Trinity Clinic Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3300 S. Broadway,, Tyler, Tennessee |
| Authorized Official Name and Position | Mary Ann Harrison (PHYSICIAN CLINIC SUPPORT COORDINATO) |
| Authorized Official Contact | 9035101113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Clinic Psychiatry Po Box 5500 Tyler TX 75712-5500 Ph: (903) 324-6450 | Trinity Clinic Psychiatry 3300 S. Broadway, Suite 102 Tyler TN 75701 Ph: (903) 593-1786 |
| NPI Number | 1659322733 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659322733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |