Provider Demographics
NPI:1982723219
Name:RODRIGUEZ, CHRISTINA MARIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARIA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:1705 EAST CAMPUS CENTER DRIVE RM. 327
Mailing Address - Street 2:DEPARTMENT OF EDUCATIONAL PSYCHOLOGY
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84112-9255
Mailing Address - Country:US
Mailing Address - Phone:801-581-5847
Mailing Address - Fax:801-581-5566
Practice Address - Street 1:1705 CAMPUS CENTER DR RM 327
Practice Address - Street 2:DEPARTMENT OF EDUCATIONAL PSYCHOLOGY
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-9255
Practice Address - Country:US
Practice Address - Phone:801-581-5847
Practice Address - Fax:801-581-5566
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT4884166-2501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical