Provider Demographics
NPI:1073677787
Name:TREUTLER, CHRISTINA (PHD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:TREUTLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 KINGS HWY N STE 303
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1912
Mailing Address - Country:US
Mailing Address - Phone:856-546-3040
Mailing Address - Fax:856-667-0392
Practice Address - Street 1:1101 KINGS HWY N STE 303
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1912
Practice Address - Country:US
Practice Address - Phone:856-546-3040
Practice Address - Fax:856-667-0392
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100417200103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0051721Medicaid
Q29397Medicare UPIN
NJ0051721Medicaid