Individual
CHRISTINA IMO CARSON-SACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
405 MADISON AVE, FORT WASHINGTON, PA 19034-1509
(215) 793-4151
Mailing address
405 MADISON AVE, FORT WASHINGTON, PA 19034-1509
(215) 793-4151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016420
PA
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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