Basic Information
| Provider Information | |||||||||
| NPI: | 1700868288 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DANKO | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | JOHN | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.A. L.L.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2288 HARMONY DR | ||||||||
| Address2: | |||||||||
| City: | BURTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485091110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8107430914 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5710 CLIO RD | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485041524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8107874445 | ||||||||
| FaxNumber: | 8107874491 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/18/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 6301002828 | MI | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.