Provider Demographics
NPI:1790927440
Name:CHRIST, MARY ANNE GLONINGER
Entity Type:Individual
Prefix:DR
First Name:MARY ANNE
Middle Name:GLONINGER
Last Name:CHRIST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 ALTADENA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1004
Mailing Address - Country:US
Mailing Address - Phone:412-563-4249
Mailing Address - Fax:
Practice Address - Street 1:2581 WASHINGTON RD STE 210
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2564
Practice Address - Country:US
Practice Address - Phone:412-833-4388
Practice Address - Fax:412-833-5921
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006918L103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent