Doctor Name: | MR. CHRIS PATRICK DOERR |
NPI Number: | 1003990771 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APN |
License Number: | 26NC10436000 |
Business Practice Address: | 610 Valley Health Plz Paramus, NJ - 076523607 |
Business Phone Number: | 2012658200 |
Business Fax Number: | 2012650366 |
Mailing Address: | 118 Surrey Ln, TENAFLY |
State: | NJ |
Postal Code: | 076702517 |
Phone Number: | 2018717098 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 11/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 26NC10436000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |