Provider Demographics
NPI:1962670943
Name:DENDA, CHRISTOPHER TODD (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:DENDA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COUNSELING AND TESTING CTR
Mailing Address - Street 2:BELL HALL, SUITE 123, ANDREWS UNIVERSITY
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49104-0130
Mailing Address - Country:US
Mailing Address - Phone:269-471-3470
Mailing Address - Fax:269-471-3417
Practice Address - Street 1:COUNSELING AND TESTING CTR
Practice Address - Street 2:BELL HALL, SUITE 123, ANDREWS UNIVERSITY
Practice Address - City:BERRIEN SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49104-0130
Practice Address - Country:US
Practice Address - Phone:269-471-3470
Practice Address - Fax:269-471-3417
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013751103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6301013751OtherPOST DOCTORAL - LEVEL LIMITED LICENSE