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1275002644
CHRISTINA ELYSE DERENGE
PHILADELPHIA, PA
NPI
1275002644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS018521)
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
CHRISTINA ELYSE DERENGE PsyD
4417 N 6TH ST
PHILADELPHIA, PA 19140-2319
Phone number: 215-302-3600
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Mailing Address
CHRISTINA ELYSE DERENGE PsyD
1423 N MYRTLEWOOD ST
PHILADELPHIA, PA 19121-3614
Phone number: 480-220-1624
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