Provider Demographics
NPI:1437565785
Name:MCBRIDE, CHRISTINE MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARIE
Last Name:MCBRIDE
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 1:415 N FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2008
Mailing Address - Country:US
Mailing Address - Phone:716-799-8165
Mailing Address - Fax:716-799-8529
Practice Address - Street 1:415 N FRENCH RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2008
Practice Address - Country:US
Practice Address - Phone:716-799-8165
Practice Address - Fax:716-799-8529
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP99920103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist