Richie, David Michael

Richie, David Michael is an sole proprietor health care provider with primary practice located at 23029 S Fork , San Antonio TX 78255-2105. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Richie, David Michael can be contacted via phone (210) 614-5563.

Contact Information

Primary practice address
23029 S Fork San Antonio TX 78255-2105
Phone: (210) 614-5563
Fax: (210) 616-0785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 22993 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 22993 Texas
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 22993 Texas
Behavioral Health & Social Service Providers / Health 103TH0004X 22993 Texas

Profile Details

NPI number 1336294891
LBN Legal business name Richie, David Michael
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Nov 24th, 2015 - about 11 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 1336294891 NPPES
Texas Other 00GK60 MEDICARE PTAN

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