Provider Demographics
NPI:1285860197
Name:GORIGOITIA-WITTENBERG, CHRISTINE EMILY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:EMILY
Last Name:GORIGOITIA-WITTENBERG
Suffix:
Gender:F
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:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-0277
Mailing Address - Country:US
Mailing Address - Phone:610-703-9999
Mailing Address - Fax:
Practice Address - Street 1:2700 N CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9735
Practice Address - Country:US
Practice Address - Phone:610-703-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016591103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical