Individual
CHRISTINA JO HARTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
803 E DAKOTA AVE, PIERRE, SD 57501-3312
(605) 224-5811
Mailing address
PO BOX 148, PIERRE, SD 57501-0148
(605) 224-5811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
503
SD
Other
Enumeration date
10/05/2010
Last updated
04/16/2013
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