Provider Demographics
NPI:1205662921
Name:SCHAMP, CHRISTINA (MED)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:SCHAMP
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:
Mailing Address - City:MATHER
Mailing Address - State:PA
Mailing Address - Zip Code:15346-0333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 333
Practice Address - Street 2:
Practice Address - City:MATHER
Practice Address - State:PA
Practice Address - Zip Code:15346-0333
Practice Address - Country:US
Practice Address - Phone:724-833-2804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health