Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | LP4839 | MN |
Y | 103TC0700X | Clinical Psychologist | LP4839 | MN |
NPI | 1003003948 |
---|---|
Provider Name | Dr. Daniel Anthony Christensen |
First Address | Saint Paul, MN 55101-1941 |
Second Address | Saint Paul, MN 55101-2666 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 25/09/2007 |