Provider Demographics
NPI:1639329469
Name:MARRERO-HOWIESON, CHRISTINA DIANE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:DIANE
Last Name:MARRERO-HOWIESON
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 1:2510 MAIN ST., SUITE 201
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405
Mailing Address - Country:US
Mailing Address - Phone:424-346-2745
Mailing Address - Fax:310-392-6043
Practice Address - Street 1:2510 MAIN ST., SUITE 201
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405
Practice Address - Country:US
Practice Address - Phone:424-346-2745
Practice Address - Fax:310-392-6043
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADMH WAIVER103TH0100X
CAPSY23017103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service