MEDICARE: DR. CHRISTOPHER JOHN TAPPEL PSYD

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	14222918-2504	UT

General Provider Information

NPI Number	:	1124819115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER JOHN TAPPEL PSYD

Provider Business Mailing Address
First Line	:	1800 W FOX BAY DR UNIT C103
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-4261
Country	:	US
Telephone Number	:	253-222-5540
Fax Number	:

Provider Business Practice Location Address
First Line	:	2223 S HIGHLAND DR STE 297
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-3672
Country	:	US
Telephone Number	:	801-738-7616
Fax Number	:

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

Provider Enumeration Date	:	05/16/2025
Last Update Date	:	06/05/2025

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