Dr. James Otis Deegear IV
Counseling Psychologist
2554 E Villa Maria Rd
Bryan
, Texas 77802-2037
Dr. James Otis Deegear IV
Counseling Psychologist
2554 E Villa Maria Rd
Bryan
, Texas 77802-2037
(979) 777-4623
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. James Otis Deegear IV
- 2251 Rockingham Loop
- College Station, TX
- Zip : 77845-4856
- Phone : (979) 777-4623
Second Address
- Dr. James Otis Deegear IV
- 2554 E Villa Maria Rd
- Bryan, TX
- Zip : 77802-2037
- Phone : (979) 229-7636
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 32907 | TX |
National Provider Identifier
| NPI | 1053756411 |
|---|---|
| Provider Name | Dr. James Otis Deegear IV |
| First Address | College Station, TX 77845-4856 |
| Second Address | Bryan, TX 77802-2037 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2013 |
| Last Update Date | 29/04/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.