Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PS018681 | PA |
NPI | 1124509294 |
---|---|
Provider Name | Dr. Christina Ehrman Holbein |
First Address | Niagara Falls, NY 14304-2730 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2018 |
Last Update Date | 28/11/2018 |