Provider Demographics
NPI:1386089894
Name:CRUZ, CHRISTINA MELISSA (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MELISSA
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF PSYCHIATRY CB # 7160 101 MANNING DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:984-974-3237
Mailing Address - Fax:984-974-9646
Practice Address - Street 1:DEPARTMENT OF PSYCHIATRY CLB
Practice Address - Street 2:101 MANNING DRIVE
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599
Practice Address - Country:US
Practice Address - Phone:919-966-4764
Practice Address - Fax:919-966-9646
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-10
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC191586390200000X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program