Petro, Christine Renee

Petro, Christine Renee is an sole proprietor health care provider with primary practice located at 752 Holcomb Bridge Rd , Norcross GA 30071-1325. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Petro, Christine Renee can be contacted via phone (770) 366-7626.

Contact Information

Primary practice address
752 Holcomb Bridge Rd Norcross GA 30071-1325
Phone: (770) 366-7626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003011 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY003011 Georgia

Profile Details

NPI number 1740329176
LBN Legal business name Petro, Christine Renee
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Sep 15th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740329176 NPPES
Georgia MEDICAID 668652382A
Georgia MEDICAID 668652382C
Georgia MEDICAID 668652382E

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