Doctor Name: | DR. GEORGE CHRISTINE |
NPI Number: | 1093884314 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | 35S100123700 |
Business Practice Address: | 1138 E Chestnut Ave Building 6 Vineland, NJ - 083600492 |
Business Phone Number: | 8567942811 |
Business Fax Number: | |
Mailing Address: | Po Box 492, BRYN ATHYN |
State: | PA |
Postal Code: | 19009 |
Phone Number: | 2156630253 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 35S100123700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |