Organization
PSYLIN, INC.
Active
Organization
PSYLIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CARLIN PSY.D. (PRESIDENT)
(417) 321-4881
Entity
Organization
Contact information
Practice address
22901 S RIDGEVIEW DR, PECULIAR, MO 64078-0195
(417) 321-4881
(866) 223-4072
Mailing address
22901 S RIDGEVIEW DR, PECULIAR, MO 64078-0195
(417) 321-4881
(866) 223-4072
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2001014377
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11461940
CAQH #
—
05
—
1265735294
—
MO
01
—
MA3108
MEDICARE PTAN
MO
Enumeration date
12/14/2010
Last updated
07/31/2024
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