Provider Demographics
NPI:1932259025
Name:AAP - PSYCHOLOGY PLLC
Entity Type:Organization
Organization Name:AAP - PSYCHOLOGY PLLC
Other - Org Name:ASSOCIATES FOR APPLIED PSYCHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:STAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:979-268-1111
Mailing Address - Street 1:408 TARROW ST
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-7811
Mailing Address - Country:US
Mailing Address - Phone:979-268-1111
Mailing Address - Fax:979-268-5803
Practice Address - Street 1:408 TARROW ST
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-7811
Practice Address - Country:US
Practice Address - Phone:979-268-1111
Practice Address - Fax:979-268-5803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX085690801Medicaid