DR. RAYMOND LYNN EASTMAN (NPI# 1881719821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881719821 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND LYNN EASTMAN |
| Credential | PH.D. |
| Practice Address |
209 Blount St Nacogdoches TX 75962-0001 |
| Mailing Address |
1621 Mckewen Dr Nacogdoches TX 75965-2204 |
| Practice Telephone | 9365602889 |
| Mailing Telephone | 9365696269 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
21712 | TX | Behavioral Health & Social Service Providers |
| Street Address |
209 BLOUNT ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75962-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073643300 | Linda Stark Bobo | Specialist/Technologist | 1936 N Street, Hpe Complex, Rm 204, Sfasfu, Nacogdoches, TX 75962 | 2007-03-06 |
| 1346895620 | Daniel Anthony Latourelle | Specialist/Technologist | 712 Hayter Street, Nacogdoches, TX 75962-0001 | 2019-08-05 |
| 1730638164 | Marie Collins Custead | Dietitian, Registered | Sfa Athletic Fieldhouse 712 Hayter St, Nacogdoches, TX 75962-0001 | 2016-09-27 |
| 1275081051 | Kira Rubin | Specialist/Technologist | Sfa Athletic Fieldhouse, 712 Hayter St, Nacogdoches, TX 75962-0001 | 2016-09-21 |
| 1790113736 | Jennifer Boynton | Dietitian, Registered | 712 Hayter 13010 Sfa Sta, Nacogdoches, TX 75962-0001 | 2013-10-30 |
| 1114361250 | Stephen F. Austin State University | Clinic/Center | 2106 Raquet St, Nacogdoches, TX 75962-0001 | 2013-04-19 |
| 1336411818 | Alberta Nichols | Specialist/Technologist | 113 Hayter St, Nacogdoches, TX 75962-0001 | 2012-01-31 |
| 1225185531 | John Miller | Family Medicine | 13058-sfa Statiion, Nacogdoches, TX 75962-0001 | 2007-01-05 |
| 1093876005 | Renal Care Group Nacogdoches, LLP | Clinic/Center | 3226 University Dr, 100, Nacogdoches, TX 75962-0001 | 2006-12-13 |
| 1265501076 | Stephen F. Austin State Univ. Health Service | Clinic/Center | 2106 Raguet St N, Box 13058, Nacogdoches, TX 75962-0001 | 2006-11-07 |
| Find all providers in zip 75962 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467638825 | Sydney Kroll Register | Psychologist | 507 E Hospital St, Suite 107, Nacogdoches, TX 75961-5249 | 2008-01-16 |
| 1619194537 | East Texas Psychological Services | Psychologist | 118 E Hospital St, Suite 300, Nacogdoches, TX 75961-5203 | 2007-04-20 |
| 1679771810 | Verna Barron | Psychologist | 118 E Hospital St, Ste. 300, Nacogdoches, TX 75961-5203 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1588263339 | Uttam Psychological Services Pllc | Psychologist | 16711 Cedar Yard Ln, Cypress, TX 77433-5250 | 2020-10-22 |
| 1194323097 | Ashleigh Elizabeth Fellows | Psychologist | 11750 Mission Trace St, San Antonio, TX 78230-2120 | 2020-10-13 |
| 1639776412 | Nausheen Noor | Psychologist | 3707 Springhill Ln, Sugar Land, TX 77479-2293 | 2020-10-05 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1770194862 | Nichole Barbara Vincent | Psychologist | 829 Sunnyvale Pl, Uvalde, TX 78801-4078 | 2020-08-12 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
| 1821615733 | The Clinic Neuropsychological & Psychological Services, Pllc | Psychologist | 101 Uhland Rd Ste 205, San Marcos, TX 78666-6681 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75962 |
Please comment or provide details below to improve the information on DR. RAYMOND LYNN EASTMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.