# CHRISTINE R PETRO, PSY.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023341518
- **Authorized official:** CHRISTINE RENEE PETRO PSY.D. (PSY.D.)
- **Authorized official phone:** (770) 785-2545

## Contact information

- **Practice address:** 69 GRAYSON NEW HOPE RD, GRAYSON, GA 30017
- **Practice address phone:** (770) 785-2545
- **Mailing address:** 69 GRAYSON NEW HOPE RD, GRAYSON, GA 30017-1363
- **Mailing address phone:** (770) 785-2545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | PSY003011 | GA | — |
| 103TC0700X | Clinical Psychologist | PSY003011 | GA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PSY003011 | GA | Yes |
| 103TF0000X | Family Psychologist | PSY003011 | GA | — |

## Other

- **Enumeration date:** 09/15/2009
- **Last updated:** 06/08/2018