Provider Demographics
NPI:1841003373
Name:TALKOLOGY PROFESSIONAL CORPORATIN
Entity type:Organization
Organization Name:TALKOLOGY PROFESSIONAL CORPORATIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BAUTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:619-679-9920
Mailing Address - Street 1:1445 NORTH LOOP WEST
Mailing Address - Street 2:242F #1135
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008
Mailing Address - Country:US
Mailing Address - Phone:619-679-9929
Mailing Address - Fax:
Practice Address - Street 1:1445 NORTH LOOP WEST
Practice Address - Street 2:242F #1135
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-7700
Practice Address - Country:US
Practice Address - Phone:619-679-9929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty