Provider Demographics
NPI:1952928657
Name:CROSBY, CHRISTINE P (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:P
Last Name:CROSBY
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 1:1624 WILLIAMSBURG DR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-7832
Mailing Address - Country:US
Mailing Address - Phone:803-517-8466
Mailing Address - Fax:
Practice Address - Street 1:1624 WILLIAMSBURG DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-7832
Practice Address - Country:US
Practice Address - Phone:803-517-8466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional