Individual
CHRISTINA ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-7555
Mailing address
100 E PENN SQ FL 6, PHILADELPHIA, PA 19107-3323
(215) 590-6267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PS018433
PA
Other
Enumeration date
07/20/2011
Last updated
01/26/2018
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