Doctor Name: | DR. CHRISTINA PANSARASA |
NPI Number: | 1144386798 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 013034-1 |
Business Practice Address: | 880 S Lake Blvd Mahopac, NY - 105414771 |
Business Phone Number: | 9149628772 |
Business Fax Number: | 9142437916 |
Mailing Address: | 984 Hanover St, YORKTOWN HEIGHTS |
State: | NY |
Postal Code: | 105985913 |
Phone Number: | 9149628772 |
Fax Number: | 9142437916 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 013034-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |