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Contact Information

AEGIS PSYCHOLOGICAL CONSULTING LLC
208 E. RUSK ST.
JACKSONVILLE, TX75766
 Phone: 903-262-6175
 Fax: 903-534-9311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AEGIS PSYCHOLOGICAL CONSULTING LLC

NPI Number 1164703047
LBN Legal business name AEGIS PSYCHOLOGICAL CONSULTING LLC
Authorized official NIKOLAOS KOMBOS - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2011
Last updated 05/01/2012 - About 14 years ago
Identifiers
TX License # 23624
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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