Individual
EDWIN D ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
701 OLYMPIC PLAZA CIR, TYLER, TX 75701-1950
(903) 596-3000
(903) 596-3006
Mailing address
PO BOX 9477, TYLER, TX 75711-9477
(903) 594-2450
(903) 509-0493
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
24420
TX
103T00000X
Psychologist
24420
TX
Other
Enumeration date
07/04/2006
Last updated
12/31/2019
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