Organization
TEXAS TECH UNIVERSITY PSYCHOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN WRIGHT COOK PHD (CLINIC DIRECTOR)
(806) 742-3737
Entity
Organization
Contact information
Practice address
18TH STREET AND BOSTON AVENUE, LUBBOCK, TX 79409
(806) 742-3737
(806) 742-3799
Mailing address
PO BOX 42051, LUBBOCK, TX 79409-2051
(806) 742-3737
(806) 742-3799
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
23791
TX
103T00000X
Psychologist
23874
TX
103T00000X
Psychologist
Primary
25048
TX
103T00000X
Psychologist
32461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012KD
BLUE CROSS BLUE SHIELD
TX
01
—
04238.4
INTERFACE EAP
TX
01
—
TEXAS0004 TEXAS 0011
COMP CARE FIRST CARE
TX
Enumeration date
05/18/2007
Last updated
08/22/2020
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