| Christopher Schmelzle Phd Psychologist Inc | |
|
2202 N Old Stump Way Flagstaff AZ 86004-7623 | |
| (619) 455-8689 | |
| Not Available |
| Full Name | Christopher Schmelzle Phd Psychologist Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2202 N Old Stump Way, Flagstaff, Arizona |
| Authorized Official Name and Position | Christopher David Schmelzle (OWNER/CEO/PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 6194558689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Schmelzle Phd Psychologist Inc 2532 N 4th St # 584 Flagstaff AZ 86004-3712 Ph: (619) 455-8689 | Christopher Schmelzle Phd Psychologist Inc 2202 N Old Stump Way Flagstaff AZ 86004-7623 Ph: (619) 455-8689 |
| NPI Number | 1750053856 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Medicare PECOS PAC ID | 3870980956 |
|---|---|
| Medicare Enrollment ID | O20220419001725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750053856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Christopher David Schmelzle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740509884 PECOS PAC ID: 5698162774 Enrollment ID: I20220422002026 |
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