Provider Demographics
NPI:1063085561
Name:SAINVIL, CHRISTINE MIREILLE (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MIREILLE
Last Name:SAINVIL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 NW 167TH AVE APT 108
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PNES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1877
Mailing Address - Country:US
Mailing Address - Phone:631-807-5194
Mailing Address - Fax:
Practice Address - Street 1:100 E SAMPLE RD STE 300
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-3554
Practice Address - Country:US
Practice Address - Phone:786-207-4788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023140103T00000X
FLPY10176103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist