Provider Demographics
NPI:1508845652
Name:KATEN, CHRISTINA LEE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LEE
Last Name:KATEN
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 1:10559 W ANGELS LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1720
Mailing Address - Country:US
Mailing Address - Phone:623-362-9992
Mailing Address - Fax:623-362-9992
Practice Address - Street 1:10559 W ANGELS LN
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1720
Practice Address - Country:US
Practice Address - Phone:623-362-9992
Practice Address - Fax:623-362-9992
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3703103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical