Provider Demographics
NPI:1326855206
Name:CHRISTIANSON, SKYLAR MORGAN
Entity type:Individual
Prefix:
First Name:SKYLAR
Middle Name:MORGAN
Last Name:CHRISTIANSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4414 E ARAPAHOE ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-3202
Mailing Address - Country:US
Mailing Address - Phone:623-633-5600
Mailing Address - Fax:
Practice Address - Street 1:4414 E ARAPAHOE ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-3202
Practice Address - Country:US
Practice Address - Phone:623-633-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-14
Last Update Date:2024-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling