Individual
BRIAN J RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
210 ENTERPRISE ST STE C, LONGVIEW, TX 75604-5071
(972) 480-0990
Mailing address
1901 N GLENVILLE DR STE 501, RICHARDSON, TX 75081-1957
(972) 480-0990
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
89467
TX
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
89467
TX
247200000X
Other Technician
89467
TX
Other
Enumeration date
10/29/2018
Last updated
02/28/2022
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