Provider Demographics
NPI:1831848092
Name:DAVIS, CHRISTINA N (PSYD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:N
Last Name:DAVIS
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 1:9627 SW 146TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6914
Mailing Address - Country:US
Mailing Address - Phone:813-508-6258
Mailing Address - Fax:
Practice Address - Street 1:3625 NW 82ND AVE STE 101
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6633
Practice Address - Country:US
Practice Address - Phone:813-508-6258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist