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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHRISTINE L. BLAINE, PSY.D.

Active

DR. CHRISTINE L. BLAINE, PSY.D. is a Clinical Psychologist healthcare provider located in RIDLEY PARK, Pennsylvania. NPI 1629278387 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · RIDLEY PARK, PA

Registration Details

NPI Number
1629278387
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2007 (19.060914748294 yrs)
Last Updated
Jul 20, 2007
Licenses
PS-005745-L (PA)
B1-0000489 (DE)
PS-005745-L (PA)
B1-0000489 (DE)
PS-005745-L (PA)

Practice Information

Address
405 W CHESTER PIKE
RIDLEY PARK, PA, 190781523
Browse PA providers · Browse ZIP 19078
Phone
6105214950
Fax
6105959950
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Neuropsychologist
Additional Specialty
Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.