East Texas Neurobehavioral Health,pllc
NPI #1114285970 in Gun Barrel City, Texas
Provider Information
- NPI Number
- 1114285970
- Entity Type
- Organization
- Organization Name
- East Texas Neurobehavioral Health,pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 1, 2012
- Last Updated
- May 1, 2012
Practice Location
- Address
- 122 S GUN BARREL LN
- Address 2
- SUITE 6
- City
- Gun Barrel City
- State
- Texas
- ZIP Code
- 75156-9403
- Phone
- (903) 887-0697
Authorized Official
- Name
- DR. DIANE M GARD, PH.D.
- Title
- OWNER/CLINICAL PSYCHOLOGIST
- Phone
- (903) 887-0697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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