Provider Demographics
NPI:1518480482
Name:ADZEMA, CHRISTINE CYNTHIA (NIC, ED:K-12)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CYNTHIA
Last Name:ADZEMA
Suffix:
Gender:F
Credentials:NIC, ED:K-12
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6306 VALLEYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-7304
Mailing Address - Country:US
Mailing Address - Phone:570-205-3805
Mailing Address - Fax:
Practice Address - Street 1:6306 VALLEYBROOK DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-7304
Practice Address - Country:US
Practice Address - Phone:570-205-3805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency