Provider Demographics
NPI:1245494111
Name:CULLENS, CRISTINA LAWRENCE
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:LAWRENCE
Last Name:CULLENS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:CRISTINA
Other - Middle Name:LOUISE
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:21983 E HERITAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7241
Mailing Address - Country:US
Mailing Address - Phone:303-903-1182
Mailing Address - Fax:
Practice Address - Street 1:21983 E HERITAGE PKWY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-7241
Practice Address - Country:US
Practice Address - Phone:303-903-1182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2995103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist