Trina L Christner-Renfroe, PSY.D.
Individual provider Active NPI Specialist · Chattahoochee, FL
NPI 1992072656 · NPPES record last updated Nov 23, 2011
Key facts
- NPI
- 1992072656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- PY6564 (FL)
- Practice address
- 119 E. Washington Florida State Hospital,
Building 1214, Landis Hall, Room 1090
Chattahoochee, FL 32324-1000 - Phone
- (850) 663-7706
- Fax
- (850) 663-7011
- NPI assigned
- Nov 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6564 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Children and Families | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PY6564 | FL | Yes |
Addresses
Primary practice location
119 E. Washington Florida State Hospital,
Building 1214, Landis Hall, Room 1090
Chattahoochee, FL 32324-1000
Mailing address
PO Box 1000
Chattahoochee, FL 32324-1000
Phone (850) 663-7706
Other providers in Chattahoochee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.