Provider Demographics
NPI:1891851655
Name:COX, CHRISTIANE SYLVIA (PHD)
Entity Type:Individual
Prefix:
First Name:CHRISTIANE
Middle Name:SYLVIA
Last Name:COX
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 1:5503 BROAD BRANCH RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1703
Mailing Address - Country:US
Mailing Address - Phone:202-244-1288
Mailing Address - Fax:443-923-9255
Practice Address - Street 1:707 N BROADWAY
Practice Address - Street 2:SUITE 232
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1832
Practice Address - Country:US
Practice Address - Phone:443-923-9257
Practice Address - Fax:443-923-9255
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03041103T00000X
DCPSY1000333103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist