| Doctor Name: | KRISTINA LYNN DEMURO |
| NPI Number: | 1245570563 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | PC006454 |
| Business Practice Address: | 555 2nd Ave Suite D 202 Collegeville, PA - 194263600 |
| Business Phone Number: | 4849736661 |
| Business Fax Number: | |
| Mailing Address: | 1304 Dickinson St, 2nd Floor PHILADELPHIA |
| State: | PA |
| Postal Code: | 191476214 |
| Phone Number: | 2154998817 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2013 |
| NPI Last Update Date: | 03/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC006454 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |