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Individual

DR. CHRISTINE L. BLAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
405 W CHESTER PIKE, RIDLEY PARK, PA 19078-1523
(610) 521-4950
(610) 595-9950
Mailing address
PO BOX 203, THORNTON, PA 19373-0203
(610) 521-4950
(610) 595-9950

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
B1-0000489
DE
103G00000X
Clinical Neuropsychologist
PS-005745-L
PA
103TB0200X
Cognitive & Behavioral Psychologist
B1-0000489
DE
103TB0200X
Cognitive & Behavioral Psychologist
PS-005745-L
PA
103TC0700X
Clinical Psychologist
B1-0000489
DE
103TC0700X
Clinical Psychologist
Primary
PS-005745-L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
B1-0000489
DE
103TC2200X
Clinical Child & Adolescent Psychologist
PS-005745-L
PA

Other

Enumeration date
07/20/2007
Last updated
07/20/2007
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