Provider Demographics
NPI:1699013706
Name:WHEELER, C CHRISTINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:C
Middle Name:CHRISTINE
Last Name:WHEELER
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 1:305 EAST 55TH STREET, SUITE 202
Mailing Address - Street 2:BRISTOL MEDICAL BUILDING
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4148
Mailing Address - Country:US
Mailing Address - Phone:212-599-2254
Mailing Address - Fax:212-973-9431
Practice Address - Street 1:305 EAST 55TH STREET SUITE 202
Practice Address - Street 2:BRISTOL MEDICAL BUILDING
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4148
Practice Address - Country:US
Practice Address - Phone:212-599-2254
Practice Address - Fax:212-973-9431
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY576106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist