Individual
DR. DAVID E CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
246 E 1260 N, LOGAN, UT 84341-7501
(435) 750-6300
(435) 753-8995
Mailing address
246 E 1260 N, PO BOX 6244, LOGAN, UT 84341-7501
(435) 750-6300
(435) 753-8995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
357927-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008370101
IHC
UT
01
—
345617
DMBA
UT
01
—
62617
PEHP
UT
Enumeration date
03/14/2007
Last updated
07/08/2007
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