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NPI Code Detail

MEDICARE: CHRISTOPHER M. DEHON PH.D.

MEDICARE: CHRISTOPHER M. DEHON PH.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
1103T00000XPsychologist017482-1NY

General Provider Information

NPI Number : 1912130261
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER M. DEHON PH.D.
Provider Business Mailing Address
First Line : 1183 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-1662
Country : US
Telephone Number : 585-256-7812
Fax Number : 585-256-7793
Provider Business Practice Location Address
First Line : 1183 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-1662
Country : US
Telephone Number : 585-256-7812
Fax Number : 585-256-7793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2009
Last Update Date : 09/02/2009

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