Provider Demographics
NPI:1336349968
Name:FRONT, CHRIS MICHAEL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:MICHAEL
Last Name:FRONT
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 1:800 INDEPENDENCE AVE SW
Mailing Address - Street 2:FAA, OFFICE OF AEROSPACE MEDICINE, RM 328
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20591-0001
Mailing Address - Country:US
Mailing Address - Phone:202-267-3767
Mailing Address - Fax:
Practice Address - Street 1:800 INDEPENDENCE AVE SW
Practice Address - Street 2:FAA, OFFICE OF AEROSPACE MEDICINE, RM 328
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20591-0001
Practice Address - Country:US
Practice Address - Phone:202-267-3767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-22
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048-0000766103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical