Aegis Psychological Consulting Llc

NPI 1164703047 - Psychologist - 103T00000X

NPI Details
NPI 1164703047
Enumeration Date 09/06/2011
Last Updated 05/01/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name NIKOLAOS NIKOLAOS
Position CLINICAL PSYCHOLOGIST
Phone (903) 262-6175
Fax (903) 534-9311
Practice Location
208 E. RUSK ST.
JACKSONVILLE TX, 75766, US
Phone (903) 262-6175
Fax (903) 534-9311
Business Location
P.O. BOX 2621
JACKSONVILLE TX, 75766, US
Phone (903) 262-6175
Fax (903) 534-9311
Toxanomy
Taxonomy Code 103T00000X
License State Texas
License Number 23624
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According to our database, Aegis Psychological Consulting Llc NPI is 1164703047, taxonomy code is 103T00000X and license number is 23624, license state is located at Texas. Aegis Psychological Consulting Llc physically located at 208 E. Rusk St., Jacksonville TX, 75766. NPI Number 1033115704 has the healthcare provider type.

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1164703047 NPI number is provided on an as is basis without warranty of any kind. 1164703047 is maintained by the National Plan & Provider Enumeration System. The contents of Aegis Psychological Consulting Llc are for informational purposes only.