| Gerald E. Nissley, Jr., Psy.d., Pllc | |
|
505 E Travis St Ste 105 Marshall TX 75670-4280 | |
| (903) 471-0274 | |
| (800) 915-4057 |
| Full Name | Gerald E. Nissley, Jr., Psy.d., Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 505 E Travis St Ste 105, Marshall, Texas |
| Authorized Official Name and Position | Gerald Edward Nissley (PSYCHOLOGIST) |
| Authorized Official Contact | 9034710274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald E. Nissley, Jr., Psy.d., Pllc 505 E Travis St Ste 105 Marshall TX 75670-4280 Ph: (903) 471-0274 | Gerald E. Nissley, Jr., Psy.d., Pllc 505 E Travis St Ste 105 Marshall TX 75670-4280 Ph: (903) 471-0274 |
| NPI Number | 1255010765 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255010765 | NPI | - | NPPES |
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