Provider Demographics
NPI:1801026471
Name:JOO, CHRISTINE (EDD, LP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:JOO
Suffix:
Gender:F
Credentials:EDD, LP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:JOO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD, LP
Mailing Address - Street 1:8201 164TH AVE NE STE 225
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-7615
Mailing Address - Country:US
Mailing Address - Phone:425-922-6783
Mailing Address - Fax:
Practice Address - Street 1:8201 164TH AVE NE STE 225
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7615
Practice Address - Country:US
Practice Address - Phone:425-922-6783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60499418103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist