Individual
DR. JOHN ROBERT SKINNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
508 GRACE ST, WAXAHACHIE, TX 75165-3046
(714) 536-2570
(972) 709-5786
Mailing address
307 SHOREWOOD DR, DUNCANVILLE, TX 75116-3632
(972) 298-8701
(972) 709-5786
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-3650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133709902
—
TX
05
—
133709903
—
TX
05
—
133709905
—
TX
01
—
86087A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/15/2006
Last updated
02/19/2010
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