# CHRISTOPHER KYLE OWEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235852468
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 6352000733 | MI | Yes |

## Other

- **Enumeration date:** 09/22/2022
- **Last updated:** 09/22/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6352000733 | DOCTORAL TEMPORARY EDUCATIONAL LIMITED LICENSE - PSYCHOLOGIST (TLLP) | MI |