Provider Demographics
NPI:1932412889
Name:FILIPPELLI, CRISTINA (PSYD)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:FILIPPELLI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 OLD LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1426
Mailing Address - Country:US
Mailing Address - Phone:603-498-7856
Mailing Address - Fax:
Practice Address - Street 1:313 OLD LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333-1426
Practice Address - Country:US
Practice Address - Phone:603-498-7856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NH1283103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program