Provider Demographics
NPI:1669753125
Name:REEDY, CRISTINA M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:M
Last Name:REEDY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1801 FRUITVILLE PIKE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4079
Mailing Address - Country:US
Mailing Address - Phone:717-556-4673
Mailing Address - Fax:717-656-4501
Practice Address - Street 1:1801 FRUITVILLE PIKE
Practice Address - Street 2:SUITE 201
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4079
Practice Address - Country:US
Practice Address - Phone:717-556-4673
Practice Address - Fax:717-656-4501
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW016652103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst