Provider Demographics
NPI:1801119904
Name:TONTCHEV, CRISTINA (MA)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:TONTCHEV
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:MOREIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:160 CYPRESS CLUB DR
Mailing Address - Street 2:627
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-4771
Mailing Address - Country:US
Mailing Address - Phone:954-943-9697
Mailing Address - Fax:
Practice Address - Street 1:160 CYPRESS CLUB DR
Practice Address - Street 2:627
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-4771
Practice Address - Country:US
Practice Address - Phone:954-943-9697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor
No172V00000XOther Service ProvidersCommunity Health Worker
No174400000XOther Service ProvidersSpecialist
No1744R1102XOther Service ProvidersSpecialistResearch Study
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other