Provider Demographics
NPI:1144654583
Name:WARRINGTON, CHRIS S
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:S
Last Name:WARRINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5119 SUMMER AVE
Mailing Address - Street 2:233
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-4401
Mailing Address - Country:US
Mailing Address - Phone:901-683-6296
Mailing Address - Fax:901-767-2936
Practice Address - Street 1:5119 SUMMER AVE
Practice Address - Street 2:233
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-4401
Practice Address - Country:US
Practice Address - Phone:901-683-6296
Practice Address - Fax:901-767-2936
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001612103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist