Individual
DR. ILANA XENIA ALBANESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
12741 RESEARCH BOULEVARD, SUITE 700, AUSTIN, TX 78759
(512) 413-9514
Mailing address
15421 WHISTLING STRAITS DRIVE, AUSTIN, TX 78717-3838
(512) 671-8877
(512) 671-9988
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-5615TX
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069EL
BLUE CROSS BLUE SHIELD
TX
01
—
164255
VALUE OPTIONS BEHAVIORAL
TX
Enumeration date
10/02/2006
Last updated
07/08/2007
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