Active NPIIndividual providerSole proprietor

Christopher L Jetton, PHD

Psychologist, Clinical in Leeds, Massachusetts

NPI Number1790127272
Practice location
421 N Main St, Leeds, MA 01053-9764
Fax
—
Last updated
May 17, 2023

Christopher Loring Jetton is a Psychologist, Clinical based in Leeds, MA. Christopher Loring Jetton practices in Leeds, MA and has the professional credentials of PHD. The NPI Number for Christopher Loring Jetton is 1790127272 and holds a License No. PSY25825 (CA). The current practice location address for Christopher Loring Jetton is 421 N Main St, Leeds, MA 01053-9764 and can be reached out via phone at 413-584-4040.

Provider Profile Details

NPI Number
1790127272
Provider Name
Christopher Loring Jetton
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
421 N Main St, Leeds, MA 01053-9764
Phone Number
413-584-4040
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2013
Last Update Date
May 17, 2023
Certification Date
May 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
421 N Main St
Leeds, MA 01053-9764
City
Leeds
Zip
01053-9764
Phone Number
413-584-4040
Leeds, MA 01053Get directions →

Provider Business Mailing Address Details

Address
421 N Main St
Leeds, MA 01053-9764
City
Leeds
State
MA
Zip
01053-9764
Phone Number
413-584-4040

License Information

License Number
PSY25825
License State
CA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christopher L Jetton, PHD?

The NPI number of Christopher L Jetton, PHD is 1790127272. It was assigned on July 24, 2013 and is currently active in the NPPES registry.

What is the specialty of Christopher L Jetton, PHD?

Christopher L Jetton, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CA under license number PSY25825.

Where does Christopher L Jetton, PHD practice?

The practice location is 421 N Main St, Leeds, MA 01053-9764. The office can be reached at 413-584-4040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790127272 directly on the NPPES registry website.

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