Provider Demographics
NPI:1376580324
Name:DEVI, CITRINI NATA (PHD, E-RYT, C-IAYT)
Entity Type:Individual
Prefix:DR
First Name:CITRINI
Middle Name:NATA
Last Name:DEVI
Suffix:
Gender:F
Credentials:PHD, E-RYT, C-IAYT
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:JEULAND
Other - Last Name:WARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, E-RYT, C-IAYT
Mailing Address - Street 1:4700 TOWNSHIP LINE RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4222
Mailing Address - Country:US
Mailing Address - Phone:610-664-6446
Mailing Address - Fax:610-446-9642
Practice Address - Street 1:4700 TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4222
Practice Address - Country:US
Practice Address - Phone:610-664-6446
Practice Address - Fax:610-446-9642
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015925103TC2200X, 103TF0000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily