Provider Demographics
NPI:1427792613
Name:CLAYPOOLE, CHRISTINE (MPH)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:CLAYPOOLE
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2459 PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-2922
Mailing Address - Country:US
Mailing Address - Phone:617-461-3616
Mailing Address - Fax:
Practice Address - Street 1:2459 PALMETTO ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-2922
Practice Address - Country:US
Practice Address - Phone:617-461-3616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-24
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000000OtherN/A