Provider Demographics
NPI:1972570315
Name:MEAGHER, CHRISTOPHER ROBERTS (PHD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ROBERTS
Last Name:MEAGHER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 LILLY RD NE
Mailing Address - Street 2:STE D
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-5118
Mailing Address - Country:US
Mailing Address - Phone:360-456-5546
Mailing Address - Fax:360-456-5549
Practice Address - Street 1:406 LILLY RD NE
Practice Address - Street 2:STE D
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5118
Practice Address - Country:US
Practice Address - Phone:360-456-5546
Practice Address - Fax:360-456-5549
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1118103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist