Provider Demographics
NPI:1083658512
Name:CHRISTNER, RAY W (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:W
Last Name:CHRISTNER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W EISENHOWER DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1142
Mailing Address - Country:US
Mailing Address - Phone:717-632-8400
Mailing Address - Fax:717-632-9300
Practice Address - Street 1:100 W EISENHOWER DR
Practice Address - Street 2:SUITE A
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1142
Practice Address - Country:US
Practice Address - Phone:717-632-8400
Practice Address - Fax:717-632-9300
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016004103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPS016004OtherPSYCHOLOGY LICENSE