Individual
MRS. CHRISTINE CLARE GANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4701 DEVONSHIRE ROAD, SUITE 101, HARRISBURG, PA 17109-1746
(717) 566-6381
(717) 545-8640
Mailing address
4701 DEVONSHIRE ROAD, SUITE 101, HARRISBURG, PA 17109-1746
(717) 566-6381
(717) 545-8640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PA003284L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01790901
CAPITAL BLUE CROSS
PA
01
—
GA414437
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/10/2006
Last updated
07/08/2007
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