Provider Demographics
NPI:1740509884
Name:SCHMELZLE, CHRISTOPHER DAVID (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:SCHMELZLE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2532 N 4TH ST # 584
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-3712
Mailing Address - Country:US
Mailing Address - Phone:619-455-8689
Mailing Address - Fax:619-330-9676
Practice Address - Street 1:2202 N OLD STUMP WAY
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-7623
Practice Address - Country:US
Practice Address - Phone:619-455-8689
Practice Address - Fax:619-330-9676
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY31560103TC0700X
AZPSY005422103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical