Individual
OLGA VADYMOVNA BERKOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2935 BAIN PL, TYLER, TX 75701-8017
(662) 613-0008
Mailing address
34 COUNTY ROAD 7283, JONESBORO, AR 72405-5192
(662) 613-0008
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37551
TX
Other
Enumeration date
12/27/2010
Last updated
06/08/2021
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