Provider Demographics
NPI:1992983720
Name:MORGAN, CHRISTINA R (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:R
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6401 SW 87TH AVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2500
Mailing Address - Country:US
Mailing Address - Phone:786-469-8973
Mailing Address - Fax:305-675-9267
Practice Address - Street 1:6401 SW 87TH AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2500
Practice Address - Country:US
Practice Address - Phone:786-469-8973
Practice Address - Fax:305-675-9267
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL7476103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL331214OtherAVMED
FL171876303698OtherLIFESYNCH
FL000195700Medicaid
FL0009801266OtherAETNA
FL37837OtherFLORIDA BLUE
FL01204729OtherAMERIGROUP
FL9901114OtherCIGNA HEALTH CARE
FLAK117Medicare PIN