Provider Demographics
NPI:1467832717
Name:SANCHEZ, CHRISTINE MICHELE (CC-AASP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MICHELE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:CC-AASP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13873 PARK CENTER RD
Mailing Address - Street 2:SUITE 490
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-3223
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13873 PARK CENTER RD
Practice Address - Street 2:SUITE 490
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-3223
Practice Address - Country:US
Practice Address - Phone:919-294-8591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports