Provider Demographics
NPI:1922380336
Name:CHRISTIANSON, CHRISTINA SOMMER (RD, CNSD, LDN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:SOMMER
Last Name:CHRISTIANSON
Suffix:
Gender:F
Credentials:RD, CNSD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 689
Mailing Address - Street 2:CEDAR CREST &I78, CLINICAL NUTRITION
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-1556
Mailing Address - Country:US
Mailing Address - Phone:610-402-8609
Mailing Address - Fax:610-402-7460
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18105-1556
Practice Address - Country:US
Practice Address - Phone:610-402-8609
Practice Address - Fax:610-402-7460
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003778133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered