Provider Demographics
NPI:1124399886
Name:SCHNORR, CHRISTINA BROOKE
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:BROOKE
Last Name:SCHNORR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:BROOKE
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4326 WHITE OAK CT
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-2302
Mailing Address - Country:US
Mailing Address - Phone:443-974-5260
Mailing Address - Fax:
Practice Address - Street 1:4326 WHITE OAK CT
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-2302
Practice Address - Country:US
Practice Address - Phone:443-974-5260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA3456103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst