Provider Demographics
NPI:1104905769
Name:TRUMAN, CHRISTINE JANE (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JANE
Last Name:TRUMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:819 W 21ST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1539
Mailing Address - Country:US
Mailing Address - Phone:757-828-3816
Mailing Address - Fax:757-335-6819
Practice Address - Street 1:819 W 21ST ST STE 101
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1539
Practice Address - Country:US
Practice Address - Phone:757-828-3816
Practice Address - Fax:757-335-6819
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012394922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry