Provider Demographics
NPI:1689224644
Name:KNIGHTSBRIDGE, CHRISTOPHER MATTHEW (MA)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MATTHEW
Last Name:KNIGHTSBRIDGE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:MR
Other - First Name:CHRISTOPHER
Other - Middle Name:MATTHEW
Other - Last Name:HARKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:3010 VISTA PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1641
Mailing Address - Country:US
Mailing Address - Phone:808-208-0248
Mailing Address - Fax:808-427-3471
Practice Address - Street 1:500 ALA MOANA BLVD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4920
Practice Address - Country:US
Practice Address - Phone:808-353-8413
Practice Address - Fax:808-427-3471
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health