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NPI Code Detail

MEDICARE: DR. CHRISTINA L DELLA NEBBIA PHD

MEDICARE: DR. CHRISTINA L DELLA NEBBIA PHD
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
1103T00000XPsychologist25826TX
2103TC0700XClinical Psychologist25826TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1122760OTHERTXSUPERIOR
27283371OTHERTXAETNA BEHAVIORAL HEALTH
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
45686812OTHERTXFIRST HEALTH CCN
5475469OTHERTXVALUEOPTIONS
600346POTHERTXBLUE CROSS BLUE SHIELD
7253769OTHERTXMHN

General Provider Information

NPI Number : 1437158615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA L DELLA NEBBIA PHD
Provider Business Mailing Address
First Line : 2300 HIGHLAND VILLAGE RD STE 210
Second Line :
City : HIGHLAND VILLAGE
State : TX
Zip : 75077-7191
Country : US
Telephone Number : 972-966-1079
Fax Number : 972-767-0755
Provider Business Practice Location Address
First Line : 2300 HIGHLAND VILLAGE RD STE 210
Second Line :
City : HIGHLAND VILLAGE
State : TX
Zip : 75077-7191
Country : US
Telephone Number : 972-966-1079
Fax Number : 972-767-0755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 11/11/2024

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