Provider Demographics
NPI:1316568520
Name:CHO, CHRISTINE J (PSYD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:J
Last Name:CHO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:J
Other - Last Name:LAURINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:362 AMBOY AVE
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2452
Mailing Address - Country:US
Mailing Address - Phone:914-523-8156
Mailing Address - Fax:
Practice Address - Street 1:57 W 57TH ST STE 1007
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2802
Practice Address - Country:US
Practice Address - Phone:212-658-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program