Provider Demographics
NPI:1457523391
Name:CHRISTINA DELLANEBBIA PHD INC
Entity Type:Organization
Organization Name:CHRISTINA DELLANEBBIA PHD INC
Other - Org Name:CHRISTINA DELLNEBBIA, PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DELLANEBBIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-966-1079
Mailing Address - Street 1:1001 CROSS TIMBERS RD
Mailing Address - Street 2:SUITE 1240
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
Practice Address - Street 2:SUITE 1240
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028
Practice Address - Country:US
Practice Address - Phone:972-966-1079
Practice Address - Fax:972-767-0755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25826103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX