Provider Demographics
NPI:1396307708
Name:SCHRAM, CHRISTINE TERESA (MA)
Entity type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:TERESA
Last Name:SCHRAM
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 ASHDOWN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2318
Mailing Address - Country:US
Mailing Address - Phone:571-335-6822
Mailing Address - Fax:
Practice Address - Street 1:107 CARPENTER DR STE 101
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-7117
Practice Address - Country:US
Practice Address - Phone:703-464-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor