| Doctor Name: | DR. CHRISTINE LYNNE CHUKABARAH |
| NPI Number: | 1427023027 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | AL1008 |
| Business Practice Address: | 100 Page Rd Suite D160, Wralc/dph Robins Afb, GA - 310981600 |
| Business Phone Number: | 4783277680 |
| Business Fax Number: | 4783277685 |
| Mailing Address: | 106 Sasser Dr, BONAIRE |
| State: | GA |
| Postal Code: | 310054138 |
| Phone Number: | 4789183486 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2006 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | AL1008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |