Provider Demographics
NPI:1881637791
Name:TRIGEIRO, CHRISTINE L (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:L
Last Name:TRIGEIRO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7513 EL PASO ST
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-4302
Mailing Address - Country:US
Mailing Address - Phone:619-466-5464
Mailing Address - Fax:619-303-2369
Practice Address - Street 1:5480 BALTIMORE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-2020
Practice Address - Country:US
Practice Address - Phone:619-466-5464
Practice Address - Fax:619-303-2369
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 9959103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33077336691942A002OtherTRICARE
CAPSY099590OtherMEDI-CAL