Provider Demographics
NPI:1174689681
Name:CHRISTINE F. PETRAT
Entity Type:Organization
Organization Name:CHRISTINE F. PETRAT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:F
Authorized Official - Last Name:PETRAT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:973-615-3460
Mailing Address - Street 1:PO BOX 814
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-0814
Mailing Address - Country:US
Mailing Address - Phone:973-615-3460
Mailing Address - Fax:908-879-4007
Practice Address - Street 1:154 ROUTE 206 SOUTH
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930
Practice Address - Country:US
Practice Address - Phone:973-615-3460
Practice Address - Fax:908-879-4007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045853001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty