Doctor Name: | DR. CHRISTINE MARIE EICHELBERGER |
NPI Number: | 1437177391 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 5820 |
Business Practice Address: | 160 West St Ste G Cromwell, CT - 064162441 |
Business Phone Number: | 2038858128 |
Business Fax Number: | |
Mailing Address: | 160 West St Ste G, CROMWELL |
State: | CT |
Postal Code: | 064162441 |
Phone Number: | 2038858128 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 07/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TM1800X |
License Number: | 5820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
Taxonomy Definition: |