MEDICARE: DR. CHRISTOPHER JOSEPH DAOOD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	3084-57	WI

General Provider Information

NPI Number	:	1013778588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER JOSEPH DAOOD

Provider Business Mailing Address
First Line	:	950 W RIVERVIEW DR
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-4534
Country	:	US
Telephone Number	:	414-617-3704
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 W RIVERVIEW DR
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-4534
Country	:	US
Telephone Number	:	414-617-3704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	01/22/2024

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Directions to “ DR. CHRISTOPHER JOSEPH DAOOD ” Practice Location

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