Provider Demographics
NPI:1922531037
Name:TEW, CHRISTINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:TEW
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:TEW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:6675 MEDITERRANEAN DR STE 405
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-5623
Mailing Address - Country:US
Mailing Address - Phone:469-222-5434
Mailing Address - Fax:469-200-4607
Practice Address - Street 1:6675 MEDITERRANEAN DR STE 405
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-5623
Practice Address - Country:US
Practice Address - Phone:469-222-5434
Practice Address - Fax:469-200-4607
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37560103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical