Individual
CHRISTINE JUNE SVOBODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
120 W CENTEX EXPY, SUITE 202, HARKER HEIGHTS, TX 76548-7406
(254) 680-7553
(888) 505-9607
Mailing address
120 W CENTRAL TEXAS EXPY, SUITE 202, HARKER HEIGHTS, TX 76548-6600
(254) 680-7553
(888) 505-9607
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22671
TX
103TC0700X
Clinical Psychologist
22671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032853602
—
TX
01
—
393445410
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/01/2006
Last updated
05/11/2016
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