Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edwin D Robertson, PHD

Individual provider Psychologist · NPI 1649200700

Edwin D Robertson, PHD is a Clinical Psychologist in Tyler, Texas. Qualified in 1990, 36 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
36
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

701 Olympic Plaza Cir
Tyler, TX 75701-1950
Phone: (903) 596-3000
Fax: (903) 596-3006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 24420 (TX)
Psychologist Taxonomy 103T00000X · Licence 24420 (TX)

Record details

NPI number1649200700
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing addressPo Box 9477, Tyler, TX 75711-9477

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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