Individual
DR. CHRISTINA FANTAUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1082 TAYLORSVILLE RD STE 210, WASHINGTON CROSSING, PA 18977-1305
(267) 291-4263
(267) 361-1176
Mailing address
1082 TAYLORSVILLE RD STE 210, WASHINGTON CROSSING, PA 18977-1305
(267) 291-4263
(267) 361-1176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
355100658400
NJ
103TC0700X
Clinical Psychologist
Primary
PS008893L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0920921
HIGHMARK BLUE SHIELD
—
Enumeration date
08/19/2006
Last updated
11/30/2023
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