| Doctor Name: | CHRISTINA A. MENICHELLO |
| NPI Number: | 1437296589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NCC |
| License Number: | 207663 |
| Business Practice Address: | 1062 State Route 38 Owego, NY - 13827 |
| Business Phone Number: | 6076874000 |
| Business Fax Number: | 6076876396 |
| Mailing Address: | 1062 State Route 38, Po Box 177 OWEGO |
| State: | NY |
| Postal Code: | 138273209 |
| Phone Number: | 6076874000 |
| Fax Number: | 6076876396 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 10/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 207663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |