Healthcare Provider Details

I. General information

NPI: 1376580324
Provider Name (Legal Business Name): CITRINI NATA DEVI PH.D., E-RYT, C-IAYT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE JEULAND WARE PH.D., E-RYT, C-IAYT

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 TOWNSHIP LINE RD
DREXEL HILL PA
19026-4222
US

IV. Provider business mailing address

4700 TOWNSHIP LINE RD
DREXEL HILL PA
19026-4222
US

V. Phone/Fax

Practice location:
  • Phone: 610-664-6446
  • Fax: 610-446-9642
Mailing address:
  • Phone: 610-664-6446
  • Fax: 610-446-9642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS015925
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS015925
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPS015925
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: