Provider Demographics
NPI:1669853925
Name:CONWAY, CHRISTINE GODSHALL (PHD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:GODSHALL
Last Name:CONWAY
Suffix:
Gender:F
Credentials:PHD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 HARRISBURG AVE
Mailing Address - Street 2:FRANKLIN & MARSHALL COLLEGE - APPEL HEALTH SCIENCES
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2827
Mailing Address - Country:US
Mailing Address - Phone:717-291-4082
Mailing Address - Fax:717-291-4277
Practice Address - Street 1:415 HARRISBURG AVE
Practice Address - Street 2:FRANKLIN & MARSHALL COLLEGE - APPEL HEALTH SCIENCES
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2827
Practice Address - Country:US
Practice Address - Phone:717-291-4082
Practice Address - Fax:717-291-4277
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPS006711L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling