Provider Demographics
NPI:1639407091
Name:VILLALON-KARTHEISER, CRISTINA (LLM)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:VILLALON-KARTHEISER
Suffix:
Gender:F
Credentials:LLM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 BOULDER TRAIL
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708
Mailing Address - Country:US
Mailing Address - Phone:914-793-2371
Mailing Address - Fax:718-601-2281
Practice Address - Street 1:161 BOULDER TRAIL
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708
Practice Address - Country:US
Practice Address - Phone:914-793-2371
Practice Address - Fax:718-601-2281
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical