Olga Vadymovna Berkout, PHD
Psychologist in Tyler, TX. Individual provider (NPI-1).
NPI number1629372115
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1629372115
- Entity type
- Individual (NPI-1)
- Name
- Olga Vadymovna Berkout
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 27, 2010
- Certification date
- Jun 8, 2021
- Last updated
- Jun 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 37551 | TX | Yes |
Practice location
2935 Bain PlTyler, TX 75701-8017
Phone 662-613-0008
Mailing address
34 County Road 7283Jonesboro, AR 72405-5192
Phone 662-613-0008
Other practice locations
34 County Road 7283
Jonesboro, AR 72405-5192
Jonesboro, AR 72405-5192
Phone 662-613-0008
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