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

Primary practice address
3334 Ssw Loop 323 Tyler TX 75701-9237
Phone: (903) 534-5968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1497805659 NPPES
Texas Other 0082EF BLUE CROSS BLUE SHIELD
Texas MEDICAID 156900601 BLUE CROSS BLUE SHIELD

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