Individual
DR. MICHAEL J RATHEAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
5502 58TH ST, #600, LUBBOCK, TX 79414-2000
(806) 792-3808
(806) 792-1506
Mailing address
5502 58TH ST, #600, LUBBOCK, TX 79414-2000
(806) 792-3808
(806) 792-1506
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-3871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G16C
BC/BS
TX
Enumeration date
07/19/2005
Last updated
07/08/2007
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