Provider Demographics
NPI:1215050661
Name:JENSEMA, CHRISTINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:JENSEMA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 REVOLUTION ST
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-3320
Mailing Address - Country:US
Mailing Address - Phone:410-939-8744
Mailing Address - Fax:410-939-8748
Practice Address - Street 1:900A S MAIN ST
Practice Address - Street 2:STE 105
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-5438
Practice Address - Country:US
Practice Address - Phone:410-939-8744
Practice Address - Fax:410-939-8748
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health