Individual
CHRISTOPHER SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4000 MACARTHUR BLVD STE 600, NEWPORT BEACH, CA 92660-2517
(949) 449-1335
Mailing address
4000 MACARTHUR BLVD, EAST TOWER, SUITE 600, NEWPORT BEACH, CA 92649-2347
(703) 244-4815
(949) 209-4544
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY29870
CA
Other
Enumeration date
02/07/2018
Last updated
04/26/2018
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