Individual
BARRY WILSON RATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
826 S FLEISHEL AVE, TYLER, TX 75701-2016
(903) 592-6779
(903) 592-7208
Mailing address
826 S FLEISHEL AVE, TYLER, TX 75701-2016
(903) 592-6779
(903) 592-7208
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
23719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326126 01
—
TX
01
—
110012100
US DEPARTMENT OF LABOR
TX
01
—
OP23719
WORKER'S COMPENSATION
TX
Enumeration date
11/30/2006
Last updated
11/04/2011
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