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Dr. Jack L. Bodden, PHD
Clinical Psychologist in College Station, Texas
NPI 1649230814

Jack L. Bodden is a Clinical Psychologist based in Dallas, TX and is specialized in Clinical. Jack L. Bodden practices in College Station, TX and has the professional credentials of PHD. The NPI Number for Jack L. Bodden is 1649230814 and holds a License No. 20473 (Texas).

The current practice location address for Jack L. Bodden is 1600 University Dr E, College Station, TX and can be reached out via phone at 409-691-3300.

Location: 1600 University Dr E, College Station, TX, 75284-7408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649230814
Provider Name
Jack L. Bodden
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1600 University Dr E, College Station, TX, 75284-7408
Phone Number
409-691-3300
Fax Number
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81078P 01 TX BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1600 University Dr E
City
College Station
State
Texas
Zip
77840-2642
Phone Number
409-691-3300
Fax Number
person
Provider Business Mailing Address Details
Address
1600 University Dr E
City
College Station
State
Texas
Zip
77840-2642
Phone Number
409-691-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
20473 (Texas)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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