Brazos Valley Psychological Services Pa in Bryan - Psychologist
Brazos Valley Psychological Services Pa - NPI 1154357747
Brazos Valley Psychological Services Pa is a Psychologist in Bryan, Texas. Brazos Valley Psychological Services Pa practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Brazos Valley Psychological Services Pa is 1154357747. The last update date is 2014-03-08.
Brazos Valley Psychological Services Pa's current location address is 704b E 29th St, Bryan, Texas. You can contact this provider via phone number 9795748801 and fax number 9797759079. The mailing address for Brazos Valley Psychological Services Pa is 704b E 29th St, Bryan, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brazos Valley Psychological Services Pa |
|---|---|
| Address | 704b E 29th St, Bryan, Texas |
| Phone Number | 9795748801 |
| Fax Number | 9797759079 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Arredondo Marie Kim |
| Credentials | PH.D. |
| Telephone Number | 9795748801 |
NPI Number Detail
| NPI Number | 1154357747 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2014-03-08 |
Provider Mailing Address Detail
| Address | 704b E 29th St |
|---|---|
| City | Bryan |
| State | Texas (TX) |
| Post Code | 778034706 |
| Phone Number | 9795748801 |
| Fax Number | 9797759079 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 32759 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Brazos Valley Psychological Services Pa by the Centers for Medicare & Medicaid Services?
The Brazos Valley Psychological Services Pa has been issued the NPI (National Provider Identifier) 1154357747. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brazos Valley Psychological Services Pa?
The Brazos Valley Psychological Services Pa is situated at 704B E 29Th St, in the city of Bryan, state of TX, with the zip code 778034706.
What is the area of specialization for Brazos Valley Psychological Services Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brazos Valley Psychological Services Pa is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Brazos Valley Psychological Services Pa receive the assignment of its 1154357747 from the Centers for Medicare & Medicaid Services?
The Brazos Valley Psychological Services Pa was issued its 1154357747 by the Centers for Medicare & Medicaid Services on 2006-06-24.
As of what date were the details related to Brazos Valley Psychological Services Pa most recently updated or revised?
The information pertaining to Brazos Valley Psychological Services Pa, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-08.