Provider Demographics
NPI:1194023622
Name:CABRERA, CHRISTI WASHINGTON (PHD, ABPP)
Entity type:Individual
Prefix:DR
First Name:CHRISTI
Middle Name:WASHINGTON
Last Name:CABRERA
Suffix:
Gender:F
Credentials:PHD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 JOHN KNOX RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-6611
Mailing Address - Country:US
Mailing Address - Phone:850-443-7948
Mailing Address - Fax:
Practice Address - Street 1:267 JOHN KNOX RD
Practice Address - Street 2:SUITE 104
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6611
Practice Address - Country:US
Practice Address - Phone:850-443-7948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9460103TC0700X
GAPSY003430103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical