Provider Demographics
NPI:1528440518
Name:WEBSTER, CHRISTY (M SP ED)
Entity type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:M SP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 75533
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20013
Mailing Address - Country:US
Mailing Address - Phone:937-344-1626
Mailing Address - Fax:
Practice Address - Street 1:429 VALLEY AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3719
Practice Address - Country:US
Practice Address - Phone:937-344-1626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist