Provider Demographics
NPI:1689773392
Name:SHOWALTER, CHRISTINE M (LMFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:SHOWALTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2667
Mailing Address - Country:US
Mailing Address - Phone:508-548-9469
Mailing Address - Fax:508-548-0986
Practice Address - Street 1:184 JONES RD # A
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2959
Practice Address - Country:US
Practice Address - Phone:508-577-3043
Practice Address - Fax:508-548-0986
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1230101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist