Spall, Christopher Michael

Spall, Christopher Michael is an sole proprietor health care provider with primary practice located at 3804 Gunn Hwy Suite A, Tampa FL 33618-8791. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Spall, Christopher Michael can be contacted via phone (813) 898-2811.

Contact Information

Primary practice address
3804 Gunn Hwy Suite A Tampa FL 33618-8791
Phone: (813) 898-2811
Fax: (813) 898-2813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH10090 Florida

Profile Details

NPI number 1063742336
LBN Legal business name Spall, Christopher Michael
Credentials LMHC CAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2010
Last updated May 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063742336 NPPES
Florida MEDICAID 001852300

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