MEDICARE: CHRISTINA GARRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC003047	PA

General Provider Information

NPI Number	:	1821869454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA GARRY

Provider Business Mailing Address
First Line	:	40 BARCLAY CT
Second Line	:
City	:	BLUE BELL
State	:	PA
Zip	:	19422-2541
Country	:	US
Telephone Number	:	484-744-2763
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 BARCLAY CT
Second Line	:
City	:	BLUE BELL
State	:	PA
Zip	:	19422-2541
Country	:	US
Telephone Number	:	484-744-2763
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2024
Last Update Date	:	01/11/2024

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Directions to “ CHRISTINA GARRY ” Practice Location

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