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Contact Information

RONALD J JEREB, PHD
2010 GILMER ROAD
STE 107
LONGVIEW, TX75604
 Phone: 903-295-3100
 Fax: 903-295-3511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RONALD J JEREB · (Male)

NPI Number 1356350912
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/05/2006
Last updated 08/19/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 22980
  • TX Medicaid 147308401
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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