Provider Demographics
NPI:1497901771
Name:SHERMAN, CHRISTINA S (PHD, MFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:S
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2140
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92088-2140
Mailing Address - Country:US
Mailing Address - Phone:760-419-7683
Mailing Address - Fax:760-728-7872
Practice Address - Street 1:577 E ELDER ST
Practice Address - Street 2:SUITE C
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-3079
Practice Address - Country:US
Practice Address - Phone:760-419-7683
Practice Address - Fax:760-728-7872
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37775106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist