Provider Demographics
NPI:1740504208
Name:CHRISTENSEN, RITA LOUISE (PHD)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:LOUISE
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:RITA
Other - Middle Name:LOUISE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:191 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2330
Mailing Address - Country:US
Mailing Address - Phone:828-250-0829
Mailing Address - Fax:828-258-3831
Practice Address - Street 1:191 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2330
Practice Address - Country:US
Practice Address - Phone:828-250-0829
Practice Address - Fax:828-258-3831
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4140103T00000X, 103TC0700X, 103TA0400X, 103TB0200X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy