Individual
MRS. CHESLEY RAMBIN KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA W/IND.PRACTICE
Contact information
Practice address
1101 YATES DR, LONGVIEW, TX 75601-4666
(903) 738-5587
Mailing address
PO BOX 9803, LONGVIEW, TX 75608-9803
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31231
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31231
TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS
TX
Enumeration date
10/04/2018
Last updated
10/04/2018
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