Christine R Petro, Psy.D., Llc

LBN: Christine R Petro, Psy.D., Llc
Christine R Petro, Psy.D., Llc is an health care organization with primary practice located at 69 Grayson New Hope Rd , Grayson GA 30017. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty. Christine R Petro, Psy.D., Llc can be contacted via phone (770) 785-2545, or through Petro, Christine Renee via phone (770) 785-2545.

Contact Information

Primary practice address
69 Grayson New Hope Rd Grayson GA 30017
Phone: (770) 785-2545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petro, Christine Renee PSY.D.
Phone: (770) 785-2545

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY003011 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003011 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY003011 Georgia
Behavioral Health & Social Service Providers / Family 103TF0000X PSY003011 Georgia

Profile Details

NPI number 1023341518
LBN Legal business name Christine R Petro, Psy.D., Llc
DBA Doing business as
Authorized official Petro, Christine Renee PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2009
Last updated Jun 8th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023341518 NPPES
Georgia MEDICAID 668652382C
Georgia MEDICAID 668652382E

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