Provider Demographics
NPI:1124445135
Name:LITTLE, CHRISTINA (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:LITTLE
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 1:13123 E. 16TH AVE
Mailing Address - Street 2:KEMPE CENTER GARY PAVILION, B390
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-204-6986
Mailing Address - Fax:303-864-5179
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:GARY PAVILION, B390
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:303-204-6986
Practice Address - Fax:303-864-5179
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2457103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical