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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