Provider Demographics
NPI:1073883989
Name:BIRDSONG, CHRISTINA LO (CD(DONA))
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:LO
Last Name:BIRDSONG
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7426 N SHORE RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-1756
Mailing Address - Country:US
Mailing Address - Phone:757-490-3633
Mailing Address - Fax:
Practice Address - Street 1:7426 N SHORE RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-1756
Practice Address - Country:US
Practice Address - Phone:757-490-3633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator