| Doctor Name: | DR. JAMES OTIS DEEGEAR |
| NPI Number: | 1053756411 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 32907 |
| Business Practice Address: | 2554 E Villa Maria Rd Bryan, TX - 778022037 |
| Business Phone Number: | 9792297636 |
| Business Fax Number: | |
| Mailing Address: | 2251 Rockingham Loop, COLLEGE STATION |
| State: | TX |
| Postal Code: | 778454856 |
| Phone Number: | 9797774623 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2013 |
| NPI Last Update Date: | 04/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 32907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |