Provider Demographics
NPI:1538210729
Name:DEAMER, CHRISTINE ANNA (MA)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ANNA
Last Name:DEAMER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 PICASSO AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-0546
Mailing Address - Country:US
Mailing Address - Phone:530-220-3052
Mailing Address - Fax:530-757-2731
Practice Address - Street 1:1712 PICASSO AVE
Practice Address - Street 2:SUITE A
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-0546
Practice Address - Country:US
Practice Address - Phone:530-220-3052
Practice Address - Fax:530-757-2731
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39232106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist