Individual
DR. GIA KOEHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., BCBA
Contact information
Practice address
14235 BLANCO RD, SAN ANTONIO, TX 78216-7718
(210) 415-9626
Mailing address
14235 BLANCO RD, SAN ANTONIO, TX 78216-7718
(210) 415-9626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-09-6584
—
103TC0700X
Clinical Psychologist
Primary
34439
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206449-04
—
TX
Enumeration date
05/15/2007
Last updated
11/01/2023
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