Provider Demographics
NPI:1609664614
Name:CHRIS WILLARD, PSY.D. PLLC
Entity type:Organization
Organization Name:CHRIS WILLARD, PSY.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:WILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:203-772-8929
Mailing Address - Street 1:37 CAVALRY CT
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-3032
Mailing Address - Country:US
Mailing Address - Phone:203-772-8929
Mailing Address - Fax:
Practice Address - Street 1:37 CAVALRY CT
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-3032
Practice Address - Country:US
Practice Address - Phone:203-772-8929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health