Jack L. Bodden, P.H.D.
Clinical Psychologist · College Station, TX
Practice location
1600 University Dr ECollege Station, TX 77840-2642
- Phone
- (409) 691-3300
NPI record
- NPI
- 1649230814
- Entity type
- Individual (Type 1)
- Enumeration date
- March 23, 2006
- Last updated
- July 10, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Psychologist Primary | 103TC0700X |
20473 | TX |
Mailing address
PO Box 847408Dallas, TX 75284-7408
- Phone
- (254) 724-2111
About Dr. Bodden
Jack L. Bodden, P.H.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 1600 University Dr E, College Station, TX 77840-2642. The NPI number 1649230814 was assigned on March 23, 2006 and the record was last updated on July 10, 2007.
Dr. Bodden lists a license in the registry: #20473 (TX) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack L. Bodden, P.H.D.?
The NPI number is 1649230814.
What is the phone number of Dr. Bodden?
The phone number listed for the practice location is (409) 691-3300.
Where is Dr. Bodden located?
1600 University Dr E, College Station, TX 77840-2642.
What is the taxonomy code for Dr. Bodden?
The primary taxonomy code is 103TC0700X – Clinical Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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