Doctor Name: | CHRISTINA TREUTLER |
NPI Number: | 1073677787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 35S100417200 |
Business Practice Address: | 765 E Route 70 Building A Marlton, NJ - 080532341 |
Business Phone Number: | 8569833900 |
Business Fax Number: | |
Mailing Address: | 1729 Lark Ln, CHERRY HILL |
State: | NJ |
Postal Code: | 080033214 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 35S100417200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |