Provider Demographics
NPI:1871733097
Name:STANLEY, CHRISTOPHER M (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:M
Last Name:STANLEY
Suffix:
Gender:M
Credentials:PSYD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7120 E ORCHARD RD
Mailing Address - Street 2:SUITE 450
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1731
Mailing Address - Country:US
Mailing Address - Phone:720-515-5334
Mailing Address - Fax:720-340-1898
Practice Address - Street 1:7120 E ORCHARD RD
Practice Address - Street 2:SUITE 450
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-1731
Practice Address - Country:US
Practice Address - Phone:720-515-5334
Practice Address - Fax:720-340-1898
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-27
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO3662103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical