Organization
SUMMIT PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLOTTE LEA RHYNE PH.D. (LICENSED PSYCHOLOGIST)
(903) 954-0605
Entity
Organization
Contact information
Practice address
1810 SHILOH RD, SUITE 801, TYLER, TX 75703-2419
(903) 954-0605
(903) 534-6518
Mailing address
1488 COUNTY ROAD 3807, BULLARD, TX 75757-6808
(903) 954-0605
(903) 534-6518
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34473
TX
103TC0700X
Clinical Psychologist
34473
TX
Other
Enumeration date
10/06/2010
Last updated
06/29/2012
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