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Individual

DR. CHRISTINA JEAN THAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
59 AVE D, PERRY POINT, MD 21902-0001
(410) 642-2411
Mailing address
822 LONG DR APT 356, ABERDEEN, MD 21001-1157
(703) 899-5630

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
0810007479
VA
103TC1900X
Counseling Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
06/09/2021
Last updated
06/09/2021
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