Doctor Name: | DR. RICHARD G RASULIS |
NPI Number: | 1184732711 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 31555 |
Business Practice Address: | 1201 E 9th St Bldg 241a-108 (181b) Bonham, TX - 754184059 |
Business Phone Number: | 2145592171 |
Business Fax Number: | 2145592118 |
Mailing Address: | 1201 E 9th St Bldg 241a-108, (181b) BONHAM |
State: | TX |
Postal Code: | 754184059 |
Phone Number: | 2145592171 |
Fax Number: | 2145592118 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 07/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 31555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |