Provider Demographics
NPI:1902075245
Name:DONEWAR, CRISTA WETHERINGTON (PHD)
Entity type:Individual
Prefix:DR
First Name:CRISTA
Middle Name:WETHERINGTON
Last Name:DONEWAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 E FRANKLIN ST STE 900A
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5869
Mailing Address - Country:US
Mailing Address - Phone:919-583-6425
Mailing Address - Fax:
Practice Address - Street 1:1829 E FRANKLIN ST STE 900A
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5869
Practice Address - Country:US
Practice Address - Phone:919-583-6425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5546103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical