Provider Demographics
NPI:1225216724
Name:BENKI, CRISTINA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:M
Last Name:BENKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 4TH ST
Mailing Address - Street 2:RM A4519, BOX 4012
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2350
Mailing Address - Country:US
Mailing Address - Phone:415-476-4236
Mailing Address - Fax:
Practice Address - Street 1:1855 4TH ST
Practice Address - Street 2:RM A4519, BOX 4012
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2350
Practice Address - Country:US
Practice Address - Phone:415-476-4236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26300103TC2200X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service