Organization
GERALD E. NISSLEY, JR., PSY.D., PLLC
Active
Organization
GERALD E. NISSLEY, JR., PSY.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD EDWARD NISSLEY JR. PSY.D. (PSYCHOLOGIST)
(903) 471-0274
Entity
Organization
Contact information
Practice address
505 E TRAVIS ST STE 105, MARSHALL, TX 75670-4280
(903) 471-0274
(800) 915-4057
Mailing address
505 E TRAVIS ST STE 105, MARSHALL, TX 75670-4280
(903) 471-0274
(800) 915-4057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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