Individual
CHRISTINA CHATLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
40 RIDGE RD, GLEN ROCK, NJ 07452-2322
(917) 545-4888
Mailing address
40 RIDGE RD, GLEN ROCK, NJ 07452-2322
(917) 545-4888
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13095
NY
103T00000X
Psychologist
35SI00629200
NJ
Other
Enumeration date
02/06/2017
Last updated
08/05/2021
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