Provider Demographics
NPI:1093206088
Name:BOWMAN-PETERSON, CHRISTINA SHERELLE (MSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SHERELLE
Last Name:BOWMAN-PETERSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 W LEIGH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-3210
Mailing Address - Country:US
Mailing Address - Phone:804-780-6070
Mailing Address - Fax:804-780-5517
Practice Address - Street 1:2300 FIRST AVENUE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222
Practice Address - Country:US
Practice Address - Phone:804-329-2515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool