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General NPI Number Information
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NPI Number | 1972681922
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER AND ASSOCIATES
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 600 S. JACKSON PARK DRIVE
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City | SEYMOUR
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State | IN
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Zip | 47274
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Country | US
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Telephone | 812-523-0386
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Fax | 512-523-8416
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Provider Business Mailing Address
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Address Line | 600 S. JACKSON PARK DRIVE
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City | SEYMOUR
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State | IN
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Zip | 47274
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Country | US
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Telephone | 812-523-0386
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Fax | 512-523-8416
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Authorized Official
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Title or Position | NEW OWNER AND HEAD PSYCHOLOGIST
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Name | DR. MYRIAM L GRAHAM
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Credential | PH.D., HSPP
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Telephone | 812-523-0386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20041655A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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