Provider Demographics
NPI:1790002632
Name:CUMMINGS, CHRISTOPHER (PSYD, LP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:PSYD, LP
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD, LP
Mailing Address - Street 1:1048 COUNTY ROAD 306A
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75654-5079
Mailing Address - Country:US
Mailing Address - Phone:903-262-0975
Mailing Address - Fax:
Practice Address - Street 1:1048 COUNTY ROAD 306A
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75654-5079
Practice Address - Country:US
Practice Address - Phone:903-262-0975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201044106H00000X
TX40017103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist