| Dr. Theodora H. Koehn, P.c. | |
|
17300 Preston Rd Suite 160 Dallas TX 75252-5654 | |
| (214) 435-4620 | |
| (972) 733-6564 |
| Full Name | Dr. Theodora H. Koehn, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 17300 Preston Rd, Dallas, Texas |
| Authorized Official Name and Position | Theodora Hart Koehn (PRESIDENT) |
| Authorized Official Contact | 2144354620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Theodora H. Koehn, P.c. 17300 Preston Rd Suite 160 Dallas TX 75252-5654 Ph: (214) 435-4620 | Dr. Theodora H. Koehn, P.c. 17300 Preston Rd Suite 160 Dallas TX 75252-5654 Ph: (214) 435-4620 |
| NPI Number | 1982839098 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 05/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982839098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 19497 (Texas) | Primary |
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