Robertson, Edwin D
Robertson, Edwin D is an individual health care provider with primary practice located at 701 Olympic Plaza Cir , Tyler TX 75701-1950. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Robertson, Edwin D can be contacted via phone (903) 596-3000.Contact Information
Primary practice address
701 Olympic Plaza Cir
Tyler TX 75701-1950
Phone: (903) 596-3000
Fax: (903) 596-3006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 24420 | Texas |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 24420 | Texas |
Profile Details
| NPI number | 1649200700 |
|---|---|
| LBN Legal business name | Robertson, Edwin D |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Dec 31st, 2019 - about 7 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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