Individual
DR. CAROL LOU BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
207 B ROCK PRAIRIE RD, COLLEGE STATION, TX 77845
(979) 690-9301
(979) 694-7337
Mailing address
207 B ROCK PRAIRIE RD, COLLEGE STATION, TX 77845
(979) 690-9301
(979) 694-7337
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334S4201
—
TX
Enumeration date
11/17/2006
Last updated
07/08/2007
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