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General NPI Number Information
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NPI Number | 1497345250
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Entity Type | Individual
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Provider Name | CHRISTINA F. CHICK PHD
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Gender | Female
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1000 FREMONT AVE STE 250A
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City | LOS ALTOS
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State | CA
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Zip | 94024-6058
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Country | US
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Telephone | 650-603-0392
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Fax |
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Provider Business Mailing Address
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Address Line | 110 GOLDEN OAK DR
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City | PORTOLA VALLEY
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State | CA
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Zip | 94028-7912
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Country | US
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Telephone | 650-603-0392
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY33812
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | PSY33812
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PSY33812
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY33812
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY33812
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License Number State | CA
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