Provider Demographics
NPI:1285092437
Name:WHELAN, CHRISTINA ALMSTROM
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ALMSTROM
Last Name:WHELAN
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:ALMSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1109 SW 30TH CT
Mailing Address - Street 2:STE A
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2887
Mailing Address - Country:US
Mailing Address - Phone:405-703-0937
Mailing Address - Fax:
Practice Address - Street 1:14616 FOSSIL CREEK LANE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134
Practice Address - Country:US
Practice Address - Phone:405-209-6919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1178103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical