Provider Demographics
NPI:1801908827
Name:CHAO, CHRISTINE MARY (PH D)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARY
Last Name:CHAO
Suffix:
Gender:F
Credentials:PH D
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Mailing Address - Street 1:4770 E ILIFF AVE
Mailing Address - Street 2:STE 233
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6000
Mailing Address - Country:US
Mailing Address - Phone:303-753-9738
Mailing Address - Fax:303-399-8269
Practice Address - Street 1:4770 E ILIFF AVE
Practice Address - Street 2:STE 233
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6000
Practice Address - Country:US
Practice Address - Phone:303-753-9738
Practice Address - Fax:303-399-8269
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO868103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO91446Medicare ID - Type Unspecified