Provider Demographics
NPI:1962788232
Name:GIRARD, CHRISTY C (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:C
Last Name:GIRARD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CHEERY LN
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-9018
Mailing Address - Country:US
Mailing Address - Phone:610-334-9100
Mailing Address - Fax:
Practice Address - Street 1:1110 SNYDER RD
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1151
Practice Address - Country:US
Practice Address - Phone:610-678-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0154941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical