Pamela B. Grossman, Ph.D.

LBN: Pamela B. Grossman, Ph.D.
Pamela B. Grossman, Ph.D. is an health care organization with primary practice located at 3201 University Dr E Suite 200, Bryan TX 77802-3475. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Pamela B. Grossman, Ph.D. can be contacted via phone (979) 268-7776, or through Grossman, Pamela B. via phone (979) 268-7776.

Contact Information

Primary practice address
3201 University Dr E Suite 200 Bryan TX 77802-3475
Fax: (979) 268-8618
Website:
Authorized official contact:
Name: Grossman, Pamela B. PH.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 25064 Texas

Profile Details

NPI number 1649447053
LBN Legal business name Pamela B. Grossman, Ph.D.
DBA Doing business as
Authorized official Grossman, Pamela B. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649447053 NPPES
Texas Other 0031JK BC/BS
Texas Other 86740A BC/BS
Texas MEDICAID 036303801 BC/BS
Texas MEDICAID 152784801 BC/BS
Texas Other U41F BC/BS

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