Doctor Name: | DR. CHRISTOPHER TODD DENDA |
NPI Number: | 1962670943 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D., LLP |
License Number: | 6301013751 |
Business Practice Address: | 9067 Us Highway 31 Berrien Springs, MI - 491031664 |
Business Phone Number: | 2698155331 |
Business Fax Number: | 2698155061 |
Mailing Address: | 9067 Us Highway 31, BERRIEN SPRINGS |
State: | MI |
Postal Code: | 491031664 |
Phone Number: | 2698155331 |
Fax Number: | 2698155061 |
NPI Enumeration Date: | 02/13/2008 |
NPI Last Update Date: | 03/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 6301013751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |