Most Relevant Information
Provider Data
| NPI Number: | 1003815341 |
| Provider Name: | MICHAEL J RATHEAL ED.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 2-3871 |
Most Important Dates
| Enumeration Date: | 07/19/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
5502 58TH ST
#600
LUBBOCK
TX
794142000
Practice Location Phone/Fax
| Phone: | 8067923808 |
| Fax: | 8067921506 |
Provider Mailing Location
5502 58TH ST
#600
LUBBOCK
TX
794142000
Provider Mailing Phone/Fax
| Phone: | 8067923808 |
| Fax: | 8067921506 |