Mr Robert Jerald Shore, PHD - Psychologist in Tyler, TX

Mr Robert Jerald Shore, PHD is a Psychologist based in Tyler, Texas. Mr Robert Jerald Shore is licensed to practice in Texas (license number 24292) and his current practice location is 804 Spring Creek Dr, Tyler, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 939-8760.

NPI number for Mr Robert Jerald Shore is 1932326840 and his current mailing address is 804 Spring Creek Dr, Tyler, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932326840.

Contact Information

Mr Robert Jerald Shore, PHD
804 Spring Creek Dr,
Tyler, TX 75703-3537
(903) 939-8760
(903) 939-8760

Map and Direction




Healthcare Provider's Profile

Full NameMr Robert Jerald Shore
GenderMale
SpecialityPsychologist
Location804 Spring Creek Dr, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932326840
  • Provider Enumeration Date: 04/20/2007
  • Last Update Date: 05/15/2008

Medical Identifiers

Medical identifiers for Mr Robert Jerald Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932326840NPI-NPPES
11601-160-01MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 24292 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Jerald Shore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Robert Jerald Shore, PHD
804 Spring Creek Dr,
Tyler, TX 75703-3537

Ph: (903) 939-8760
Mr Robert Jerald Shore, PHD
804 Spring Creek Dr,
Tyler, TX 75703-3537

Ph: (903) 939-8760

Reviews and Comments


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