| Doctor Name: | DANIEL M CHRISTY |
| NPI Number: | 1164435400 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 071006339 |
| Business Practice Address: | 146 E Geneva Sq Lake Geneva, WI - 531479694 |
| Business Phone Number: | 2622494620 |
| Business Fax Number: | |
| Mailing Address: | 146 E Geneva Sq, LAKE GENEVA |
| State: | WI |
| Postal Code: | 531479694 |
| Phone Number: | 2622494620 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071006339 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |