Provider Demographics
NPI:1275934150
Name:VOCOS, CHRISTINA JOY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:JOY
Last Name:VOCOS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7105 VIRGINIA RD STE 25
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-7986
Mailing Address - Country:US
Mailing Address - Phone:224-522-8049
Mailing Address - Fax:866-463-1219
Practice Address - Street 1:7105 VIRGINIA RD STE 25
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-7986
Practice Address - Country:US
Practice Address - Phone:224-522-8049
Practice Address - Fax:866-463-1219
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008802103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist