Healthcare Provider Details

I. General information

NPI: 1144212960
Provider Name (Legal Business Name): CHRISTOPHER KARL GERMER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 07/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 PLEASANT ST
ARLINGTON MA
02476-6535
US

IV. Provider business mailing address

94 PLEASANT ST
ARLINGTON MA
02476-6535
US

V. Phone/Fax

Practice location:
  • Phone: 781-641-2744
  • Fax: 781-641-1903
Mailing address:
  • Phone: 781-641-2744
  • Fax: 781-641-1903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3866
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: