National Provider Identifier

Christine M Titus, PSY.D.

Christine M Titus, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Retsof, NY and a listed phone number of (585) 204-2042.

NPI 1477092807Retsof, NYClinical Psychologist

Profile Overview

NPI
1477092807
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
February 17, 2017
Last Updated
December 13, 2023

Practice Location

  • 3681 Retsof RD
  • Retsof, NY 14539-9800

Phone: (585) 204-2042

Mailing Address

  • PO Box 207
  • Retsof, NY 14539-0207

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1477092807
Entity Type
Individual
Last Name
Titus
First Name
Christine
Middle Name
M
Name Prefix
Dr.
Credential
PSY.D.
Mailing Street Address
PO Box 207
Mailing City
Retsof
Mailing State
NY
Mailing ZIP Code
14539-0207
Mailing Country
US
Mailing Phone
(585) 204-2042
Practice Street Address
3681 Retsof RD
Practice City
Retsof
Practice State
NY
Practice ZIP Code
14539-9800
Practice Country
US
Practice Phone
(585) 204-2042
Enumeration Date
February 17, 2017
Last Updated
December 13, 2023
Deactivation Date
February 05, 2022
Reactivation Date
October 20, 2022
Sex
Female
Sole Proprietor
No
Certification Date
December 13, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)