Koehne, Gia
Koehne, Gia is an sole proprietor health care provider with primary practice located at 14235 Blanco Rd , San Antonio TX 78216-7718. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Koehne, Gia can be contacted via phone (210) 415-9626.Contact Information
Primary practice address
14235 Blanco Rd
San Antonio TX 78216-7718
Phone: (210) 415-9626
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-09-6584 | |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 34439 | Texas |
Profile Details
NPI number | 1922214832 |
---|---|
LBN Legal business name | Koehne, Gia |
Credentials | PSY.D., BCBA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 15th, 2007 |
Last updated | Nov 1st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922214832 | NPPES |
Texas | MEDICAID | 206449-04 |
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