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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023341518 | NPPES |
| Georgia | MEDICAID | 668652382C | |
| Georgia | MEDICAID | 668652382E |
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