Individual
CHRISTINE J CHILDERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7325 US HIGHWAY 93, SUITE A, LAKESIDE, MT 59922-9704
(406) 844-2890
(406) 844-2891
Mailing address
202 CONWAY DR, SUITE 100, KALISPELL, MT 59901-3112
(406) 751-5664
(406) 755-0971
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
327
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
492575
—
MT
01
—
52341
BLUE CROSS
MT
Enumeration date
05/20/2006
Last updated
07/08/2007
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