Individual
DR. CHRISTOPHER J CARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
22901 S RIDGEVIEW DR, PECULIAR, MO 64078-0195
(417) 321-4881
(866) 223-4072
Mailing address
22901 S RIDGEVIEW DR, PECULIAR, MO 64078-0195
(417) 321-4881
(866) 223-4072
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2001014377
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11461940
CAQH #
—
05
—
1740264241
—
MO
01
—
MA3108001
MEDICARE PTAN
MO
Enumeration date
11/30/2005
Last updated
07/31/2024
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