Doctor Name: | MRS. CHRISTINA MARIA KHAREM |
NPI Number: | 1235325036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | R-054202-1 |
Business Practice Address: | 27 S Washington St Tarrytown, NY - 105913906 |
Business Phone Number: | 9148307244 |
Business Fax Number: | 9146311287 |
Mailing Address: | 30 E Elizabeth St, TARRYTOWN |
State: | NY |
Postal Code: | 105914104 |
Phone Number: | 9148307244 |
Fax Number: | 9146311287 |
NPI Enumeration Date: | 09/14/2007 |
NPI Last Update Date: | 09/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R-054202-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |