Provider Demographics
NPI:1306492970
Name:VANYO, CHRISTINA (PSYD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:VANYO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:ZAWALSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1051 BEACON ST STE 204
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5622
Mailing Address - Country:US
Mailing Address - Phone:617-865-8585
Mailing Address - Fax:
Practice Address - Street 1:1051 BEACON ST STE 204
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5622
Practice Address - Country:US
Practice Address - Phone:617-865-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11422103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical