| Doctor Name: | CHRISTOPHER LEE CALDWELL |
| NPI Number: | 1528280484 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 000187 |
| Business Practice Address: | 50 Chestnut St Elberton, GA - 306351806 |
| Business Phone Number: | 7062132048 |
| Business Fax Number: | 7062132026 |
| Mailing Address: | 250 North Ave, ATHENS |
| State: | GA |
| Postal Code: | 306012244 |
| Phone Number: | 7065429700 |
| Fax Number: | 7062277249 |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 000187 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |