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Provider Information for 1821869454


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CHRISTINA GARRY


Sex: Female

NPI: 1821869454
Last Updated: 2024-01-11
Certification Date: 2024-01-11

Details

NameValue
NPI1821869454
Enumeration Date2024-01-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 40 BARCLAY CT
BLUE BELL, PA 19422-2541
United States

Phone: 484-744-2763 | Fax:
 
Primary Practice Address 40 BARCLAY CT
BLUE BELL, PA 19422-2541
United States

Phone: 484-744-2763 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalPAPC003047