Healthcare Provider Details

I. General information

NPI: 1982916219
Provider Name (Legal Business Name): CHRISTOPHER EMERSON PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 WILSHIRE BLVD SUITE 306
BEVERLY HILLS CA
90212-3213
US

IV. Provider business mailing address

9300 WILSHIRE BLVD SUITE 306
BEVERLY HILLS CA
90212-3213
US

V. Phone/Fax

Practice location:
  • Phone: 310-550-4560
  • Fax:
Mailing address:
  • Phone: 310-550-4560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY23147
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: