Psychological Consultants Of The Brazos Valley Pa

LBN: Psychological Consultants Of The Brazos Valley Pa
Psychological Consultants Of The Brazos Valley Pa is an health care organization with primary practice located at 2400 Broadmoor Dr Ste C, Bryan TX 77802. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Psychological Consultants Of The Brazos Valley Pa can be contacted via phone (979) 774-9255, or through Powell, Bradley D via phone (979) 774-9255.

Contact Information

Primary practice address
2400 Broadmoor Dr Ste C Bryan TX 77802
Phone: (979) 774-9255
Fax: (979) 774-9299
Website:
Map and Directions
Authorized official contact:
Name: Powell, Bradley D PHD
Phone: (979) 774-9255

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 32062 Texas

Profile Details

NPI number 1306819511
LBN Legal business name Psychological Consultants Of The Brazos Valley Pa
DBA Doing business as
Authorized official Powell, Bradley D PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1306819511 NPPES
Texas Other 0064LM BLUE CROSS

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