Provider Demographics
NPI:1437158615
Name:DELLA NEBBIA, CHRISTINA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:L
Last Name:DELLA NEBBIA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 CROSS TIMBERS RD STE 1240
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-8866
Mailing Address - Country:US
Mailing Address - Phone:972-966-1079
Mailing Address - Fax:972-767-0755
Practice Address - Street 1:1001 CROSS TIMBERS RD STE 1240
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-8866
Practice Address - Country:US
Practice Address - Phone:972-966-1079
Practice Address - Fax:972-767-0755
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25826103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX475469OtherVALUEOPTIONS
TX00346POtherBLUE CROSS BLUE SHIELD
TX253769OtherMHN
TX7283371OtherAETNA BEHAVIORAL HEALTH
TX122760OtherSUPERIOR
TX5686812OtherFIRST HEALTH CCN
TX144029903Medicaid
P32931Medicare UPIN
TX144029903Medicaid