Rath, Barry Wilson

Rath, Barry Wilson is an sole proprietor health care provider with primary practice located at 826 S Fleishel Ave , Tyler TX 75701-2016. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Rath, Barry Wilson can be contacted via phone (903) 592-6779.

Contact Information

Primary practice address
826 S Fleishel Ave Tyler TX 75701-2016
Phone: (903) 592-6779
Fax: (903) 592-7208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 23719 Texas

Profile Details

NPI number 1619044856
LBN Legal business name Rath, Barry Wilson
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Nov 4th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619044856 NPPES
Texas Other OP23719 WORKER'S COMPENSATION
Texas MEDICAID 0326126 01 WORKER'S COMPENSATION
Texas Other 110012100 WORKER'S COMPENSATION

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