Provider Demographics
NPI:1831386119
Name:ADAMS, CHRISTINE
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 OUTLOOK DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-6927
Mailing Address - Country:US
Mailing Address - Phone:781-863-2009
Mailing Address - Fax:
Practice Address - Street 1:3 BOW ST
Practice Address - Street 2:CAMBRIDGE EATING DISORDER CENTER
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5103
Practice Address - Country:US
Practice Address - Phone:617-547-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8712103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical