Provider Demographics
NPI:1376521294
Name:SEILER, CHRISTIE BURGER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:BURGER
Last Name:SEILER
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 1:1521 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-5426
Mailing Address - Country:US
Mailing Address - Phone:570-322-5051
Mailing Address - Fax:570-322-6788
Practice Address - Street 1:1521 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-5426
Practice Address - Country:US
Practice Address - Phone:570-322-5051
Practice Address - Fax:570-322-6788
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023261103TC0700X
PAPS015413103TC0700X
PAPS05413103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA520090OtherVALUEOPTIONS
PA739121000OtherMAGELLAN
PA1512391OtherBLUE CROSS/BLUE SHIELD
PA817337OtherFIRST PRIORITY HEALTH
PA0007919493OtherAETNA
PA2164507OtherCIGNA BEHAVIORAL
PAP00342967OtherRAILROAD MEDICARE/PALMETTO GBA
072614PX0Medicare PIN
072614Medicare PIN
PA1512391OtherBLUE CROSS/BLUE SHIELD