Provider Demographics
NPI:1003976986
Name:ZIEGLER, CHRISTOPHER J (PSY D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 LENKER ST
Mailing Address - Street 2:STE 101
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-1925
Mailing Address - Country:US
Mailing Address - Phone:717-919-6124
Mailing Address - Fax:717-782-6859
Practice Address - Street 1:5008 LENKER ST
Practice Address - Street 2:STE 101
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1925
Practice Address - Country:US
Practice Address - Phone:717-919-6124
Practice Address - Fax:717-814-3133
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2019-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008585L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017009800004Medicaid
PA974229OtherHIGHMARK BLUE SHIELD
PA0017009800004Medicaid