Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 20041655A | IN |
Y | 103TC0700X | Clinical Psychologist | 20041655A | IN |
NPI | 1003827452 |
---|---|
Provider Name | Dr. Jill Amber Christopher |
First Address | Seymour, IN 47274-2991 |
Second Address | Seymour, IN 47274-2991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 08/07/2007 |