Healthcare Provider Details

I. General information

NPI: 1023926235
Provider Name (Legal Business Name): CHRISTINA MARIE BERTOK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W EISENHOWER DR STE A
HANOVER PA
17331-1142
US

IV. Provider business mailing address

6886 JACKSON DR
SEVEN VALLEYS PA
17360-8915
US

V. Phone/Fax

Practice location:
  • Phone: 717-632-8400
  • Fax:
Mailing address:
  • Phone: 717-332-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: