Individual
CHRISTOPHER ALAN FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2200 FORT JESSE RD STE 220, NORMAL, IL 61761-6289
(309) 664-3130
Mailing address
315 1/2 N MAIN ST, BLOOMINGTON, IL 61701-3966
(770) 568-3896
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010590
IL
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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