Provider Demographics
NPI:1427251248
Name:ALSTON, CHRISTINA M (PHD SR PE)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:ALSTON
Suffix:
Gender:F
Credentials:PHD SR PE
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIA
Other - Last Name:ALSTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:657 RED BUD LN
Mailing Address - Street 2:
Mailing Address - City:GATLINBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37738-4709
Mailing Address - Country:US
Mailing Address - Phone:865-680-1004
Mailing Address - Fax:
Practice Address - Street 1:419 HIGH ST
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3816
Practice Address - Country:US
Practice Address - Phone:865-774-2444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE0000001002103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist