Doctor Name: | DR. JILL AMBER CHRISTOPHER |
NPI Number: | 1003827452 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D., HSPP |
License Number: | 20041655A |
Business Practice Address: | 415 S Walnut St Suite 215 Seymour, IN - 472742991 |
Business Phone Number: | 8125230386 |
Business Fax Number: | 8125238416 |
Mailing Address: | 415 S Walnut St, Suite 215 SEYMOUR |
State: | IN |
Postal Code: | 472742991 |
Phone Number: | 8125230386 |
Fax Number: | 8125238416 |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20041655A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |