Provider Demographics
NPI:1487857900
Name:AMAN, CHRISTINE JULIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:JULIE
Last Name:AMAN
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 1:625 PANORAMA TRL
Mailing Address - Street 2:BUILDING 2; SUITE 180
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2404
Mailing Address - Country:US
Mailing Address - Phone:585-383-8840
Mailing Address - Fax:585-383-8843
Practice Address - Street 1:625 PANORAMA TRL
Practice Address - Street 2:BUILDING 2; SUITE 180
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2404
Practice Address - Country:US
Practice Address - Phone:585-383-8840
Practice Address - Fax:585-383-8843
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015494103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent