Mary Charbonneau in West Melbourne - Psychologist
Mary Charbonneau - NPI 1174617617
Mary Charbonneau is a Psychologist in West Melbourne, Florida. Mary Charbonneau practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Charbonneau is 1174617617. The last update date is 2007-07-08.
Mary Charbonneau's current location address is 2020 Commerce Dr, West Melbourne, Florida. You can contact this provider via phone number 3219526000. The mailing address for Mary Charbonneau is 2020 Commerce Dr, West Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Charbonneau |
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Address | 2020 Commerce Dr, West Melbourne, Florida |
Phone Number | 3219526000 |
Fax Number | |
Sole Proprietor | N |
Credentials | PSYD |
NPI Number Detail
NPI Number | 1174617617 |
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Provider Enumeration Date | 2006-10-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2020 Commerce Dr |
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City | West Melbourne |
State | Florida (FL) |
Post Code | 32904 |
Phone Number | 3219526000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | PY0007324 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code assigned to Mary Charbonneau by the Centers for Medicare & Medicaid Services?
The Mary Charbonneau has been issued the NPI (National Provider Identifier) 1174617617, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary Charbonneau's facilities are situated?
The facilities of Mary Charbonneau are physically located at the following address: 2020 Commerce Dr, West Melbourne, FL, 32904.
What is Mary Charbonneau's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Charbonneau is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174617617 to Mary Charbonneau?
The Centers for Medicare & Medicaid Services assigned the 1174617617 to Mary Charbonneau on 2006-10-02.
When was the information regarding Mary Charbonneau, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Charbonneau, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.