MEDICARE: DR. CHRISTOPHER SCOTT POLIZZI PSY.D.

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	103TC0700X	Clinical Psychologist	PSY22255	CA

General Provider Information

NPI Number	:	1093967200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER SCOTT POLIZZI PSY.D.

Provider Business Mailing Address
First Line	:	901 CAMPISI WAY
Second Line	:	STE 150
City	:	CAMPBELL
State	:	CA
Zip	:	95008-2365
Country	:	US
Telephone Number	:	408-827-1942
Fax Number	:	408-628-0042

Provider Business Practice Location Address
First Line	:	901 CAMPISI WAY
Second Line	:	STE 150
City	:	CAMPBELL
State	:	CA
Zip	:	95008-2365
Country	:	US
Telephone Number	:	408-827-1942
Fax Number	:	408-628-0042

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

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	10/29/2018

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