Healthcare Provider Details

I. General information

NPI: 1215868435
Provider Name (Legal Business Name): CLAUDIA HRISTOVA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 NW FEDERAL HWY STE 210
STUART FL
34994-1019
US

IV. Provider business mailing address

850 NW FEDERAL HWY STE 210
STUART FL
34994-1019
US

V. Phone/Fax

Practice location:
  • Phone: 877-721-8989
  • Fax: 561-921-8790
Mailing address:
  • Phone: 877-721-8989
  • Fax: 561-921-8790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY13163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: