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Individual

RICHARD L FLOURNOY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
104 S VAN BUREN AVE, MT PLEASANT, TX 75455-4438
(903) 572-1406
(903) 572-1446
Mailing address
PO BOX 1332, MT PLEASANT, TX 75456-1332
(903) 572-1406
(903) 572-1446

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20955
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00DC30
BCBS OF TX
TX
01
117602
INTEGRATED MH SVC/SUP HTH
01
188704
VALUE OPTIONS
01
24251
CIGNA
01
5086164
AETNA
Enumeration date
11/03/2005
Last updated
07/08/2007
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