Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christine E Cork, PA-CCAQPSYCH

Individual provider Psychiatry Physician · NPI 1811403363

Christine E Cork, PA-CCAQPSYCH is a Psychiatry Physician in Longmont, Colorado. Practices as a sole proprietor and works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2017
Specialties on file
2

Practice location Address checks out

635 Gooseberry Dr Unit 1905
Longmont, CO 80503-6457
Phone: (678) 697-9665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1455 Dixon Ave, Lafayette, CO 80026-8879 — (303) 443-8500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0005295 (CO)
Psychiatry Physician Taxonomy 2084P0800X · Licence PA.0005295 (CO)

Record details

NPI number1811403363
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-CCAQPSYCH
Sole proprietorYes
NPI enumeratedDecember 20, 2017
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

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