Provider Demographics
NPI:1558371823
Name:SAENZ, ADAM L (PHD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:L
Last Name:SAENZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 ROCK PRAIRIE RD
Mailing Address - Street 2:STE B
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8777
Mailing Address - Country:US
Mailing Address - Phone:979-229-7636
Mailing Address - Fax:979-694-7337
Practice Address - Street 1:2554 E VILLA MARIA RD
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2037
Practice Address - Country:US
Practice Address - Phone:979-229-7636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32151103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0046JZOtherBLUE CROSS BLUE SHIELD