Sperry, Robert
Sperry, Robert is an individual health care provider with primary practice located at 3334 Ssw Loop 323 , Tyler TX 75701-9237. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Sperry, Robert can be contacted via phone (903) 534-5968.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 6166 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 23178 | Texas |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 23178 | Texas |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 23178 | Texas |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 23178 | Texas |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 23178 | Texas |
Profile Details
| NPI number | 1497805659 |
|---|---|
| LBN Legal business name | Sperry, Robert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | May 25th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497805659 | NPPES |
| Texas | Other | 0082EF | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 156900601 | BLUE CROSS BLUE SHIELD |
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