Individual
CHRISTIE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1509 MAPLE ST, SCRANTON, PA 18505-2707
(570) 342-8305
Mailing address
1700 PINE ST, SCRANTON, PA 18510-1950
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015031
PA
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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