Provider Demographics
NPI:1457728388
Name:TREECE, CHRISTINE A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:A
Last Name:TREECE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1974
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98401-1974
Mailing Address - Country:US
Mailing Address - Phone:253-214-9011
Mailing Address - Fax:833-791-8129
Practice Address - Street 1:1102 A ST STE 424
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-5010
Practice Address - Country:US
Practice Address - Phone:253-214-9011
Practice Address - Fax:833-791-8029
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY61017259103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical