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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

NPI Number 1205044740
LBN Legal business name TEXAS TECH UNIVERSITY PSYCHOLOGY CLINIC
Authorized official STEPHEN COOK - (CLINIC DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2007
Last updated 08/22/2020 - About 6 years ago
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
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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