Doctor Name: | DR. CHRISTOPHER JOHN MAGLIO |
NPI Number: | 1104933746 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PY01689 |
Business Practice Address: | 117 E Washington St Kirksville, MO - 635012951 |
Business Phone Number: | 6606657805 |
Business Fax Number: | 6606650309 |
Mailing Address: | 117 E Washington St, KIRKSVILLE |
State: | MO |
Postal Code: | 635012951 |
Phone Number: | 6606657805 |
Fax Number: | 6606650309 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PY01689 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |