Individual
JAMES J CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
13649 OFFICE PLACE, SUITE 102, WOODBRIDGE, VA 22192
(703) 670-5738
(703) 670-8213
Mailing address
13649 OFFICE PLACE, SUITE 102, WOODBRIDGE, VA 22192
(703) 670-5738
(703) 670-8213
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001821
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256400
ANTHEM BCBS
VA
Enumeration date
11/09/2006
Last updated
01/17/2020
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