Provider Demographics
NPI:1013511989
Name:DRAPEAU, CHRISTOPHER WESTON (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:WESTON
Last Name:DRAPEAU
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 1:809 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-3431
Mailing Address - Country:US
Mailing Address - Phone:219-730-6765
Mailing Address - Fax:
Practice Address - Street 1:809 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-3431
Practice Address - Country:US
Practice Address - Phone:219-898-5645
Practice Address - Fax:219-325-0855
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20043387A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical