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Contact Information

TEXAS TECH UNIVERSITY PSYCHOLOGY CLINIC
18TH STREET AND BOSTON AVENUE
LUBBOCK, TX79409
 Phone: 806-742-3737
 Fax: 806-742-3799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TEXAS TECH UNIVERSITY PSYCHOLOGY CLINIC · (Female)

NPI # 1205044740
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 23791
  • TX License # 23874
  • TX License # 25048
  • TX License # 32461
  • TX Other 0012KD BLUE CROSS BLUE SHIELD
  • TX Other TEXAS0004 TEXAS 0011 COMP CARE FIRST CARE
  • TX Other 04238.4 INTERFACE EAP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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