Provider Demographics
NPI:1821282088
Name:DEUSSING, CHRISTOPHER (LCSW)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:DEUSSING
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 BALA AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3209
Mailing Address - Country:US
Mailing Address - Phone:215-906-7689
Mailing Address - Fax:215-581-9195
Practice Address - Street 1:29 BALA AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3209
Practice Address - Country:US
Practice Address - Phone:215-906-7689
Practice Address - Fax:215-581-9195
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0157991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical