Credle, Christiian Storm
Credle, Christiian Storm is an individual health care provider with primary practice located at 907 Chester Pike , Sharon Hill PA 19079-1411. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Credle, Christiian Storm can be contacted via phone (610) 583-1177.Contact Information
Primary practice address
907 Chester Pike
Sharon Hill PA 19079-1411
Phone: (610) 583-1177
Fax: (610) 583-1177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS019097 | Pennsylvania |
Profile Details
| NPI number | 1316552102 |
|---|---|
| LBN Legal business name | Credle, Christiian Storm |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2020 |
| Last updated | Sep 9th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316552102 | NPPES |
| Other | PS019097 | LISENCE NUMBER |
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