Provider Demographics
NPI:1497017594
Name:CHRIST, DENNIS ALAN (MS)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:ALAN
Last Name:CHRIST
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 S PROGRESS AVE
Mailing Address - Street 2:STE 2B
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-4636
Mailing Address - Country:US
Mailing Address - Phone:717-497-7594
Mailing Address - Fax:844-237-7481
Practice Address - Street 1:160 S PROGRESS AVE
Practice Address - Street 2:STE 2B
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109
Practice Address - Country:US
Practice Address - Phone:717-497-7594
Practice Address - Fax:844-237-7481
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006752L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist