| Somatic Regulation & Psychological Services | |
|
1 Chisholm Trail Rd Ste 450 Round Rock TX 78681-5008 | |
| (318) 451-2137 | |
| Not Available |
| Full Name | Somatic Regulation & Psychological Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Chisholm Trail Rd Ste 450, Round Rock, Texas |
| Authorized Official Name and Position | Christina Sanner (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3184512137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Somatic Regulation & Psychological Services 725 Whispering Oaks Dr Salado TX 76571-4930 Ph: () - | Somatic Regulation & Psychological Services 1 Chisholm Trail Rd Ste 450 Round Rock TX 78681-5008 Ph: (318) 451-2137 |
| NPI Number | 1437904570 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Medicare PECOS PAC ID | 1456893924 |
|---|---|
| Medicare Enrollment ID | O20240612001188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437904570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Christina M Sanner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033373931 PECOS PAC ID: 0143463836 Enrollment ID: I20240612001436 |
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