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Contact Information

DANIEL M CHRISTY
146 E GENEVA SQ
LAKE GENEVA, WI53147-9694
 Phone: 262-249-4620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DANIEL M CHRISTY · (Male)

NPI Number 1164435400
Status Active
Credentials
Entity Individual
Enumeration date 08/15/2006
Last updated 06/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 071006339
  • WI License # 2872-057
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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