Provider Demographics
NPI:1700768314
Name:CRESPO, CHRISTIAN JAVIER (PHD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:JAVIER
Last Name:CRESPO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E QUAMASIA AVE APT 17D
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2557
Mailing Address - Country:US
Mailing Address - Phone:787-963-2182
Mailing Address - Fax:
Practice Address - Street 1:2616 BUDDY OWENS BLVD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6900
Practice Address - Country:US
Practice Address - Phone:956-800-5679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40430103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical