Provider Demographics
NPI:1891744363
Name:KAMINSKY, CHRISTINA A (PHD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:KAMINSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:KAMINSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:26 E HOLLISTER ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-1704
Mailing Address - Country:US
Mailing Address - Phone:513-621-5001
Mailing Address - Fax:513-621-5008
Practice Address - Street 1:26 E HOLLISTER ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-1704
Practice Address - Country:US
Practice Address - Phone:513-621-5001
Practice Address - Fax:513-621-5008
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2763103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist