Provider Demographics
NPI:1265280614
Name:TAWIAH, CHRISTIEANNA (EDS, NCSP)
Entity type:Individual
Prefix:
First Name:CHRISTIEANNA
Middle Name:
Last Name:TAWIAH
Suffix:
Gender:F
Credentials:EDS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LISMORE PL
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-8247
Mailing Address - Country:US
Mailing Address - Phone:434-906-4327
Mailing Address - Fax:
Practice Address - Street 1:10 LISMORE PL
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-8247
Practice Address - Country:US
Practice Address - Phone:434-906-4327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA5314575103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool