Provider Demographics
NPI:1174722250
Name:PLATSHON, CHRISTINE (PHD, LEP)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:PLATSHON
Suffix:
Gender:F
Credentials:PHD, LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:562 SANTA CLARA AVE
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-4128
Mailing Address - Country:US
Mailing Address - Phone:650-422-1985
Mailing Address - Fax:
Practice Address - Street 1:562 SANTA CLARA AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-4128
Practice Address - Country:US
Practice Address - Phone:650-422-1985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TS0200X
CA3614103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool