Provider Demographics
NPI:1578211108
Name:ECHARD, CHRISTYNA MARIE (MA BSL)
Entity Type:Individual
Prefix:
First Name:CHRISTYNA
Middle Name:MARIE
Last Name:ECHARD
Suffix:
Gender:F
Credentials:MA BSL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4731 ROUTE 30 STE 404
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7260
Mailing Address - Country:US
Mailing Address - Phone:724-850-7300
Mailing Address - Fax:
Practice Address - Street 1:4731 ROUTE 30 STE 404
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7260
Practice Address - Country:US
Practice Address - Phone:724-850-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH004146103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst