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NPI Code Detail

MEDICARE: NANCY H CHRISTIE LPC

MEDICARE:   NANCY H CHRISTIE  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor8388TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18388OTHERTXSTATE LICENSE LPC
24044LCOTHERTXBLUE CROSS
32271871OTHERTXAETNA
42688OTHERTXSTATE BIOFEEDBACK LICENSE

General Provider Information

NPI Number : 1538177209
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY H CHRISTIE LPC
Provider Business Mailing Address
First Line : PO BOX 940165
Second Line :
City : PLANO
State : TX
Zip : 75094-0165
Country : US
Telephone Number : 972-424-9212
Fax Number : 972-509-1450
Provider Business Practice Location Address
First Line : 6040 CAMP BOWIE BLVD STE 28
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-5602
Country : US
Telephone Number : 972-424-9212
Fax Number : 972-509-1450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 07/08/2007

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Directions to “ NANCY H CHRISTIE LPC” Practice Location

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