| David E Christian Phd Pc | |
|
629 S 575 W Logan UT 84321-5162 | |
| (435) 512-1547 | |
| Not Available |
| Full Name | David E Christian Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 629 S 575 W, Logan, Utah |
| Authorized Official Name and Position | David E Christian (OWNER) |
| Authorized Official Contact | 4355121547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David E Christian Phd Pc 274 N Main St Logan UT 84321-3915 Ph: (435) 753-1600 | David E Christian Phd Pc 629 S 575 W Logan UT 84321-5162 Ph: (435) 512-1547 |
| NPI Number | 1922523844 |
|---|---|
| Provider Enumeration Date | 08/11/2017 |
| Last Update Date | 08/11/2017 |
| Medicare PECOS PAC ID | 8729351440 |
|---|---|
| Medicare Enrollment ID | O20170831001502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922523844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 357927-2501 (Utah) | Primary |
| Provider Name | David Earl Christian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336273481 PECOS PAC ID: 7618130972 Enrollment ID: I20120523000667 |
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