Provider Demographics
NPI:1093052821
Name:DORO, CHRISTINA TSONAS (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:TSONAS
Last Name:DORO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:VASILIA
Other - Last Name:TSONAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:880 SW 21ST LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-6870
Mailing Address - Country:US
Mailing Address - Phone:954-579-0591
Mailing Address - Fax:
Practice Address - Street 1:2425 E COMMERCIAL BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4034
Practice Address - Country:US
Practice Address - Phone:954-616-5287
Practice Address - Fax:954-616-5147
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-14
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8693103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical