Individual
DR. CHRIS H. MODRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1248 NILLES RD, SUITE 8, FAIRFIELD, OH 45014-2762
(513) 269-4218
(513) 829-2830
Mailing address
PO BOX 18667, FAIRFIELD, OH 45018-0667
(513) 269-4218
(513) 829-2830
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4482
OH
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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