| Roberta Targino, Pllc | |
|
4209 Gandara Bnd Austin TX 78738-6781 | |
| (737) 637-1360 | |
| Not Available |
| Full Name | Roberta Targino, Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4209 Gandara Bnd, Austin, Texas |
| Authorized Official Name and Position | Roberta Targino (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 9046293776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta Targino, Pllc 4209 Gandara Bnd Austin TX 78738-6781 Ph: (904) 629-3776 | Roberta Targino, Pllc 4209 Gandara Bnd Austin TX 78738-6781 Ph: (737) 637-1360 |
| NPI Number | 1013643584 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013643584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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