MEDICARE: CHRISTOPHER CUMMINGS PSYD, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	201044	TX
2	103T00000X	Psychologist	40017	TX

General Provider Information

NPI Number	:	1790002632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER CUMMINGS PSYD, LP

Provider Business Mailing Address
First Line	:	1048 COUNTY ROAD 306A
Second Line	:
City	:	HENDERSON
State	:	TX
Zip	:	75654-5079
Country	:	US
Telephone Number	:	903-262-0975
Fax Number	:

Provider Business Practice Location Address
First Line	:	1048 COUNTY ROAD 306A
Second Line	:
City	:	HENDERSON
State	:	TX
Zip	:	75654-5079
Country	:	US
Telephone Number	:	903-262-0975
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2010
Last Update Date	:	08/28/2025

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