Individual provider · Type 1 NPI

Christina Elyse Derenge, PSYD

Psychologist · Philadelphia, PA

NPI number 1275002644 Active

Practice location

4417 N 6th St
Philadelphia, PA 19140-2319

Call (215) 302-3600 Map

Mailing address

1423 N Myrtlewood St
Philadelphia, PA 19121-3614

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPS018521 (PA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1275002644

Christina Elyse Derenge, PSYD's National Provider Identifier is 1275002644, issued on Nov 15, 2018. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 7, 2025.