Individual
DR. CHRISTOPHER ANTHONY MODICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3645 N BRIARWOOD LN, SUITE A, MUNCIE, IN 47304-5214
(765) 289-5520
(765) 289-5840
Mailing address
3645 N BRIARWOOD LN, SUITE A, MUNCIE, IN 47304-5214
(765) 289-5520
(765) 289-5840
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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