Psychological Consultants Of The Brazos Valley Pa in Bryan - Psychologist
Psychological Consultants Of The Brazos Valley Pa - NPI 1306819511
Psychological Consultants Of The Brazos Valley Pa is a Psychologist in Bryan, Texas. Psychological Consultants Of The Brazos Valley Pa practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Psychological Consultants Of The Brazos Valley Pa is 1306819511. The last update date is 2020-08-22.
Psychological Consultants Of The Brazos Valley Pa's current location address is 2400 Broadmoor Dr, Bryan, Texas. You can contact this provider via phone number 9797749255 and fax number 9797749299. The mailing address for Psychological Consultants Of The Brazos Valley Pa is 2400 Broadmoor Dr, Bryan, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychological Consultants Of The Brazos Valley Pa |
|---|---|
| Address | 2400 Broadmoor Dr, Bryan, Texas |
| Phone Number | 9797749255 |
| Fax Number | 9797749299 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIIRECTOR |
|---|---|
| Authorized Official Name | Powell D Bradley |
| Credentials | PHD |
| Telephone Number | 9797749255 |
NPI Number Detail
| NPI Number | 1306819511 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2400 Broadmoor Dr |
|---|---|
| City | Bryan |
| State | Texas (TX) |
| Post Code | 77802 |
| Phone Number | 9797749255 |
| Fax Number | 9797749299 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 32062 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0064LM | TX | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Psychological Consultants Of The Brazos Valley Pa by the Centers for Medicare & Medicaid Services?
The Psychological Consultants Of The Brazos Valley Pa has been assigned the NPI (National Provider Identifier) 1306819511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Psychological Consultants Of The Brazos Valley Pa's facilities are geographically located?
The facilities of Psychological Consultants Of The Brazos Valley Pa are physically situated at the following location: 2400 Broadmoor Dr, Bryan, TX, 77802.
What is Psychological Consultants Of The Brazos Valley Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Psychological Consultants Of The Brazos Valley Pa's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306819511 to Psychological Consultants Of The Brazos Valley Pa?
The Psychological Consultants Of The Brazos Valley Pa received its 1306819511 assignment from the Centers for Medicare & Medicaid Services on 2006-02-08.
As of what date was the information regarding Psychological Consultants Of The Brazos Valley Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Psychological Consultants Of The Brazos Valley Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA