Provider Demographics
NPI:1568952695
Name:NAVA, KHRISTINA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:KHRISTINA
Middle Name:L
Last Name:NAVA
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 1:2902 2ND ARMY DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:FORT MEADE
Mailing Address - State:MD
Mailing Address - Zip Code:20755-2028
Mailing Address - Country:US
Mailing Address - Phone:301-575-6091
Mailing Address - Fax:
Practice Address - Street 1:2902 2ND ARMY DR UNIT B
Practice Address - Street 2:
Practice Address - City:FORT MEADE
Practice Address - State:MD
Practice Address - Zip Code:20755-2028
Practice Address - Country:US
Practice Address - Phone:301-575-6091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05930103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical