Individual
DR. CHRISTOPHER MICHAEL CARUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
434 MITCHELL VALLEY DRIVE, MARION, VA 24354-6338
(276) 783-7600
(276) 783-1802
Mailing address
434 MITCHELL VALLEY DRIVE, MARION, VA 24354-6338
(276) 783-7600
(276) 783-1802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003040
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010186111
—
VA
05
—
015148586
—
VA
01
—
11525677
CAQH
VA
01
—
1689766784
NPI
VA
01
—
179557
ANTHEM
VA
Enumeration date
09/28/2006
Last updated
05/20/2011
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