Provider Demographics
NPI:1578787693
Name:SMELKO, CHRISTA DENISE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTA
Middle Name:DENISE
Last Name:SMELKO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:DENISE
Other - Last Name:SCHULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:P.O. BOX 5539
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-5539
Mailing Address - Country:US
Mailing Address - Phone:406-444-7500
Mailing Address - Fax:406-444-7588
Practice Address - Street 1:2755 COLONIAL DRIVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5539
Practice Address - Country:US
Practice Address - Phone:406-444-7500
Practice Address - Fax:406-444-7588
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPSY-PSY-LIC-400103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical