Most Relevant Information
Provider Data
| NPI Number: | 1003275298 |
| Provider Name: | MICHAEL CHATTERTON PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TH0004X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/16/2016 |
| Last Updated: | 02/12/2021 |
Provider Practice Location
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS)
FORT SAM HOUSTON
TX
78234
Practice Location Phone/Fax
| Phone: | 2105399582 |
| Fax: |
Provider Mailing Location
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS)
FORT SAM HOUSTON
TX
78234
Provider Mailing Phone/Fax
| Phone: | 2109164612 |
| Fax: |