| Doctor Name: | DR. CRISTIN CARR WHITING |
| NPI Number: | 1073567145 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 2938 |
| Business Practice Address: | 632 Holly Ave Winston-salem, NC - 271012716 |
| Business Phone Number: | 3367230055 |
| Business Fax Number: | 3367230022 |
| Mailing Address: | 632 Holly Ave, WINSTON-SALEM |
| State: | NC |
| Postal Code: | 271012716 |
| Phone Number: | 3367230055 |
| Fax Number: | 3367230022 |
| NPI Enumeration Date: | 05/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2938 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |