Individual
DR. RONALD J. JEREB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2010 GILMER ROAD, STE 107, LONGVIEW, TX 75604
(903) 295-3100
(903) 295-3511
Mailing address
2010 GILMER ROAD, STE 107, LONGVIEW, TX 75604
(903) 295-3100
(903) 295-3511
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147308401
—
TX
Enumeration date
08/05/2006
Last updated
08/19/2009
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